Destination Life Llc-S
NPI 1831712413 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Arlington, TX
Provider details
- NPI number
- 1831712413
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Parent organization
- Destination Life Llc-S
- Organization subpart
- Yes
- Authorized official
- Zemelda Carr, Adm & Auth Rep(817) 473-1312
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Destination Lab
- Doing business as
- Destination Therapy
- Doing business as
- Destination Therapy
Additional practice locations (1)
- 1759 Broad Park Cir S Ste 113Mansfield, TX 76063-7836Phone: (817) 473-1312Fax: (866) 990-2813
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.