CROSSROADS PHYSICAL THERAPY LP (NPI# 1124065578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124065578 |
| Entity Type | Organization |
| Organization Name | CROSSROADS PHYSICAL THERAPY LP |
| Other Organization Name | GREEN OAKS PT - FT. WORTH |
| Practice Address |
160 W Magnolia Ave Suite 2 Fort Worth TX 76104-7613 |
| Mailing Address |
1300 W Sam Houston Pkwy S Suite 300 Houston TX 77042-2447 |
| Practice Telephone | 8173357946 |
| Practice Fax Number | 8173357947 |
| Mailing Telephone | 7132977000 |
| Mailing Fax Number | 7132977090 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7132977000 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Oaks PT - Ft. Worth | Doing Business As Name - Organization |
| Street Address |
160 W MAGNOLIA AVE SUITE 2 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912945247 | Andy Noel Miles | Physical Therapist | 160 W Magnolia Ave, Suite 2, Fort Worth, TX 76104-7654 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022970 | R3 Physiotherapy | Clinic/Center | 11601 Emory Trl, Fort Worth, TX 76244-8805 | 2020-04-20 |
| 1962048470 | Maurice Perry Jr. | Clinic/Center | 3425 Mclean St, Fort Worth, TX 76103-2507 | 2019-11-19 |
| 1508415563 | Wheel Make You Mobile Consultants LLC | Clinic/Center | 5541 Murton Pl, Fort Worth, TX 76137-3763 | 2019-09-11 |
| 1649704990 | Samantha Ashley Johnson | Clinic/Center | 4750 Bryant Irvin Road N, Fort Worth, TX 76107 | 2017-04-13 |
| 1376927251 | Optimove Physical Therapy & Wellness LLC | Clinic/Center | 2307 Gravel Dr, Fort Worth, TX 76118-6951 | 2015-07-10 |
| 1023244332 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1 Lockheed Blvd, Fort Worth, TX 76108-3619 | 2009-06-02 |
| 1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
| 1235314949 | Fine Spine, LLC | Clinic/Center | 6800 Manhattan Blvd, Bg 1 Ste 100, Fort Worth, TX 76120-1200 | 2008-01-02 |
| 1013949445 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2500 West Freeway, Suite 100, Fort Worth, TX 76102 | 2006-07-07 |
| 1669405551 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2006-07-07 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on CROSSROADS PHYSICAL THERAPY LP.
| 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.