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1790559466 NPI number — SAPPHIRE HEALTH & REHABILITATION, PA

NPI Number: 1790559466
Health Care Provider/Practitioner: SAPPHIRE HEALTH & REHABILITATION, PA

Information about “1790559466” NPI (SAPPHIRE HEALTH & REHABILITATION, PA) exists in 1790559466 in HTML format HTML  |  1790559466 in plain Text format TXT  |  1790559466 in PDF (Portable Document Format) PDF  |  1790559466 in an XML format XML  formats.

NPI Number : 1790559466 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790559466",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SAPPHIRE HEALTH & REHABILITATION, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6500 VIRGINIA SQ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76017-4947",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-996-9720",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3600 S LOOP 340",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROBINSON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76706-4828",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-970-6817",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/13/2023",
    "LastUpdateDate": "05/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAN BEEST",
    "AuthorizedOfficialFirstName": "DOMINIQUE",
    "AuthorizedOfficialMiddleName": "CHRISTIANA",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "214-970-6817",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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