Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destination Life Llc-S

Organization Physical Therapist · NPI 1831712413

Destination Life Llc-S is a Physical Therapist in Arlington, Texas. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
9

Practice location Address checks out

2001 SE Green Oaks Blvd Ste 130
Arlington, TX 76018-0952
Phone: (817) 473-1312
Fax: (866) 990-2813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1759 Broad Park Cir S Ste 113, Mansfield, TX 76063-7836 — (817) 473-1312

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Rehabilitation Clinic/Center Taxonomy 261QR0400X
Clinical Medical Laboratory Taxonomy 291U00000X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X

Record details

NPI number1831712413
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDestination Life Llc-S
Authorized official Zemelda Carr — Adm & Auth Rep · (817) 473-1312
Other names Destination Therapy; Destination Therapy; Destination Lab
NPI enumeratedMay 18, 2020
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021
Mailing address2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018-0952

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