FT. WORTH SPINAL DECOMPRESSION CENTER, P.C. (NPI# 1003117052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003117052 |
| Entity Type | Organization |
| Organization Name | FT. WORTH SPINAL DECOMPRESSION CENTER, P.C. |
| Practice Address |
1149 Precinct Line Rd Ste A Hurst TX 76053-4289 |
| Practice Telephone | 8172841235 |
| Practice Fax Number | 8172841226 |
| Mailing Telephone | 8172841235 |
| Mailing Fax Number | 8172841226 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |
| Authorized Official Name | ANDRE WULLAERT (OWNER) |
| Authorized Official Telephone | 8172841235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
6533 | TX | Chiropractic Providers |
| Street Address |
1149 PRECINCT LINE RD STE A |
| City | HURST |
| State | TX |
| Zip Code | 76053-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449933 | Areli Nunez | Physical Therapy Assistant | 304 Willow St, Hurst, TX 76053 | 2018-09-01 |
| 1043737778 | Sarah Renee Sarmiento | Occupational Therapy Assistant | 305 Ne Loop 820 Suite 209, Hurst, TX 76053 | 2017-08-23 |
| 1689026676 | Knee Coaster, LLC | Durable Medical Equipment & Medical Supplies | 1675 Sotogrande Blvd, 202, Hurst, TX 76053 | 2016-07-01 |
| 1053769836 | National Vision, Inc. | Technician/Technologist | 732 West Pipeline Rd, Hurst, TX 76053 | 2016-06-02 |
| 1902269038 | Martha De La Cruz-rodriguez | Specialist/Technologist | 305 Ne Loop 820 Business, Tower 1 Suite 200, Hurst, TX 76053 | 2016-04-05 |
| 1427420249 | Carol R. Wadsworth | Psychologist | 700 Ne Loop 820 Ste 200a, Hurst, TX 76053 | 2015-10-21 |
| 1972984623 | Sara Khalid Mahmood | Dentist | 800 Forest Oaks Ln Ste A, Hurst, TX 76053 | 2015-06-17 |
| 1306230073 | Sachenka Rivas | Speech-Language Pathologist | 305 Ne Loop 820,business Tower 1, Suite 200, Hurst, TX 76053 | 2015-03-20 |
| 1760873954 | Marcy Ann Fuentes | Occupational Therapy Assistant | 305 Ne Loop 820; Business Tower 1, Suite 200, Hurst, TX 76053 | 2015-02-10 |
| 1588062632 | Carolina Talancon | Specialist/Technologist | 305 Ne Loop 820;, Business Tower 1, Suite 200;, Hurst, TX 76053 | 2014-12-05 |
| Find all providers in zip 76053 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679658298 | Allison R Cohen | Chiropractor | 1149 Precinct Line Rd, Suite C, Hurst, TX 76053-4288 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385391 | South Texas Sports Chiropractic | Chiropractor | 6635 S Staples St Apt 1815, Corpus Christi, TX 78413-5417 | 2020-11-01 |
| 1740806819 | Dannug Management, LLC | Chiropractor | 9720 Cypresswood Dr Ste 130, Houston, TX 77070-3557 | 2020-06-24 |
| 1134742125 | Kayla Keck | Chiropractor | 7200 Meadow Hill Dr, Frisco, TX 75033-2031 | 2020-05-25 |
| 1942821368 | Stark Chiropractic & Sports, Pllc | Chiropractor | 5625 Fm 1960 Rd W Ste 400, Houston, TX 77069-4211 | 2020-04-27 |
| 1558994996 | Scott David Kimbell | Chiropractor | 3303 Northland Dr Ste 301, Austin, TX 78731-4956 | 2020-02-13 |
| 1194356394 | Kali Mccormick | Chiropractor | 4570 Fm 720, Aubrey, TX 76227-8256 | 2020-01-28 |
| 1467001958 | Catalyst Hl&p, LLC. | Chiropractor | 5177 Richmond Ave Ste 110, Houston, TX 77056-6764 | 2019-09-06 |
| 1487219101 | Moriam Adigun | Chiropractor | 747 N Shepherd Dr, Houston, TX 77007-1335 | 2019-05-08 |
| 1528534518 | Eric Trager | Chiropractor | 5530 Ih 35 S, New Braunfels, TX 78132-4945 | 2018-10-17 |
| 1780150797 | The Pit Fitness & Rehab | Chiropractor | 324 E Belt Line Rd Ste 800, Desoto, TX 75115-5706 | 2018-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.