Provider Demographics
NPI:1164141545
Name:MYPHYSIO PERFORMANCE PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:MYPHYSIO PERFORMANCE PHYSICAL THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:CAVE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:817-213-6087
Mailing Address - Street 1:4513 CALLA LILY DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6863
Mailing Address - Country:US
Mailing Address - Phone:325-207-4704
Mailing Address - Fax:888-271-0336
Practice Address - Street 1:1825 WIMBLEDON DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-7920
Practice Address - Country:US
Practice Address - Phone:817-213-6087
Practice Address - Fax:888-271-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty