TMI SPORTS THERAPY LP (NPI# 1578750154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578750154 |
| Entity Type | Organization |
| Organization Name | TMI SPORTS THERAPY LP |
| Practice Address |
2044 N Hwy 360 Grand Prairie TX 75050-1423 |
| Practice Telephone | 9726232629 |
| Practice Fax Number | 9726232661 |
| Mailing Telephone | 9726232629 |
| Mailing Fax Number | 9726232661 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-10-27 |
| Authorized Official Name | CHARLES WABBERSEN (THERAPIST) |
| Authorized Official Telephone | 9726232629 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1157230 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS-GROUP# | 0041PB | 01 |
| TX | BCBS-INDIVIDUAL # | 8T6887 | 01 |
| Street Address |
2044 N HWY 360 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772082 | Oluwatomi C Kehinde | Specialist/Technologist | 1201 E Marshall Dr Apt C, Grand Prairie, TX 75051-5204 | 2020-08-25 |
| 1285269720 | Joshua Peralta | Specialist/Technologist | 3709 Lemon Dr, Grand Prairie, TX 75052-6614 | 2020-03-05 |
| 1639710130 | Randall Wayne Taylor II | Specialist/Technologist | 914 Clark Trl, Grand Prairie, TX 75052-2324 | 2019-10-05 |
| 1629533419 | Ann Meiners | Specialist/Technologist | 1221 E Seeton Rd, Grand Prairie, TX 75054-6713 | 2019-02-05 |
| 1588145510 | Alexia Rae Leal | Specialist/Technologist | 522 Newberry St, Grand Prairie, TX 75052-3420 | 2018-08-28 |
| 1669971370 | Justin Thomas Nadeau | Specialist/Technologist | 2880 N State Highway 360, Grand Prairie, TX 75050-6411 | 2018-02-08 |
| 1679091656 | Brian Fisher | Specialist/Technologist | 3509 Vista Circle, Grand Prairie, TX 75052 | 2017-08-30 |
| 1750833067 | Angela Batts | Specialist/Technologist | 2752 Garden Grove Rd, Grand Prairie, TX 75052-4431 | 2016-11-03 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1740665421 | Brittany Blunt | Specialist/Technologist | 3456 Braes Meadow Dr, Grand Prairie, TX 75052-8057 | 2015-07-23 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on TMI SPORTS THERAPY LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.