HEALTHSOURCE OF HIGHLAND PARK
NPI 1114160827
Chiropractor - Rehabilitation in Dallas, TX

Active since April 10, 2009
3408 MILTON AVE, DALLAS, TX 75205(214) 739-2225(214) 739-2228 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Healthsource Of Highland Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF HIGHLAND PARK (NPI 1114160827) is a healthcare organization registered as a rehabilitation in Dallas, Texas and active in the NPI registry since April 2009. The organization lists R Todd Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1114160827
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NamePARK CITIES CHIROSPORT INC
Location Address3408 MILTON AVEDallas, TX 75205-1338
Mailing Address3408 Milton AveDallas, TX 75205-1338 · (214) 739-2225 · Fax (214) 739-2228
Fax(214) 739-2228
Organization SubpartNo
Authorized OfficialR Todd PetersenOwner · (214) 739-2225
Enumeration DateApril 10, 2009
Last NPPES UpdateOctober 30, 2014
✔ NPI 1114160827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in TX · 09289
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
3408 MILTON AVE, Dallas, TX 75205

Other Names 1

Doing Business AsHealthsource Of Highland Park

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Of Highland Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource Of Highland Park, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1811917172
3408 MILTON AVE
Dallas, TX 75205
(214) 739-2225
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Cities Chirosport Inc's NPI number?

The NPI number for Park Cities Chirosport Inc is 1114160827. It was assigned to this organization in the NPPES registry on April 10, 2009. The provider is doing business as Healthsource Of Highland Park.

Where is Park Cities Chirosport Inc located?

Park Cities Chirosport Inc is located at 3408 Milton Ave, Dallas, TX 75205. The listed phone number is (214) 739-2225.

What is Park Cities Chirosport Inc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Park Cities Chirosport Inc enrolled in Medicare?

Yes. Park Cities Chirosport Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Cities Chirosport Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Park Cities Chirosport Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Park Cities Chirosport Inc was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.