1902468135 NPI number — GET SET PHYSICAL THERAPY & WELLNESS, PLLC

NPI Number: 1902468135
Health Care Provider/Practitioner: GET SET PHYSICAL THERAPY & WELLNESS, PLLC

NPI Number : 1902468135 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902468135",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GET SET PHYSICAL THERAPY & WELLNESS, PLLC",
    "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": "1511 S ALAMO RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKWALL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75087-4289",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-697-9703",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1205 N GOLIAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKWALL",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75087-7204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-314-1369",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/09/2019",
    "LastUpdateDate": "08/11/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARRETT",
    "AuthorizedOfficialFirstName": "HOWARD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHYSICAL THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPT",
    "AuthorizedOfficialTelephoneNumber": "214-697-9703",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QC1500X",
          "TaxonomyName": "Community Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "302R00000X",
          "TaxonomyName": "Health Maintenance Organization",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}