DR. MICHAEL FLYZIK DPT,OCS,PC (NPI# 1962689422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962689422 |
| Entity Type | Organization |
| Organization Name | DR. MICHAEL FLYZIK DPT,OCS,PC |
| Practice Address |
1621 E Southlake Blvd Suite 300 Southlake TX 76092-6448 |
| Practice Telephone | 8174161444 |
| Practice Fax Number | 8174160060 |
| Mailing Telephone | 8174161444 |
| Mailing Fax Number | 8174160060 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | DR. MICHAEL FLYZIK (OWNER/PROVIDER) |
| Authorized Official Telephone | 8174161444 |
| Authorized Official Credential | DPT,OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1082675 | TX | Ambulatory Health Care Facilities |
| Street Address |
1621 E SOUTHLAKE BLVD SUITE 300 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104244722 | Healthscripts of America-southlake, LLC | Pharmacy | 1621 E Southlake Blvd, Suite 180, Southlake, TX 76092-6448 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750309720 | Coppell Spine & Sports Rehab Limited Partnership | Clinic/Center | 731 East Southlake Blvd, Suite 150, Southlake, TX 76092-6380 | 2006-07-18 |
| 1962929588 | J&j Physical Therapy and Wellness | Clinic/Center | 280 Commerce St Ste 115, Southlake, TX 76092 | 2017-08-24 |
| 1043647092 | Varsity Orthopedics Physical Therapy | Clinic/Center | 190 S Peytonville Ave, Southlake, TX 76092-6937 | 2013-10-07 |
| 1205199684 | Meehan Sports Therapy & Pediatrics Pllc | Clinic/Center | 100 W Southlake Blvd, Ste 420, Southlake, TX 76092-6100 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| 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.