Healthcare Provider Details
I. General information
NPI: 1225284458
Provider Name (Legal Business Name): 3DPT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2008
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3500 OAK LAWN AVE STE 240
DALLAS TX
75219-4329
US
IV. Provider business mailing address
3500 OAK LAWN AVE STE 240
DALLAS TX
75219-4329
US
V. Phone/Fax
- Phone: 214-528-3378
- Fax: 214-528-3379
- Phone: 214-528-3378
- Fax: 214-528-3379
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GREYDON
BLAIR
CALLAWAY
Title or Position: CEO
Credential: DPT
Phone: 214-528-3378