Healthcare Provider Details

I. General information

NPI: 1164141545
Provider Name (Legal Business Name): MYPHYSIO PERFORMANCE PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 09/01/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 WIMBLEDON DR
ARLINGTON TX
76017-7920
US

IV. Provider business mailing address

4513 CALLA LILY DR
MANSFIELD TX
76063-6863
US

V. Phone/Fax

Practice location:
  • Phone: 817-213-6087
  • Fax: 888-271-0336
Mailing address:
  • Phone: 325-207-4704
  • Fax: 888-271-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JARED RYAN CAVE
Title or Position: OWNER
Credential: PT, DPT
Phone: 817-213-6087