CMS-1500 Box 24J / 33a • NPI
1528944477
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2081P2900X (CMS 25)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine
Box 32 Service Location & ZIP+4
6649 N RIVERSIDE DR, FORT WORTH, TX, 76137-6640
✓ 9-Digit EDI 837 ZIP+4 (76137-6640)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1528944477 (ADVANCEDNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1528944477 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCEDNP |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine NUCC Code: 2081P2900X (Physical Medicine & Rehabilitation, Pain Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6649 N RIVERSIDE DR, FORT WORTH, TX, 76137-6640 |
| Practice Telephone / Fax | Tel: (817) 847-1860 |
| Administrative Mailing Address | 14601 WOODSHADOW LN, ADDISON, TX, 75001-7988 |
| Enumeration & Last Sync | Enumerated: 2025-08-14 | CMS Record Updated: 2025-09-19 |
| Authorized Official | ERICA RUSH (Owner/CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2081P2900X)
What Does Taxonomy Code 2081P2900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2081P2900X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCEDNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208VP0000X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine | State: N/A | License: Verified | Primary: Secondary |
363LA2100X — Nurse Practitioner, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care | State: N/A | License: Verified | Primary: Secondary |
2081P2900X — Physical Medicine & Rehabilitation, Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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