PEDIATRIC THERAPY SERVICES OF TEXAS (NPI# 1487160354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487160354 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY SERVICES OF TEXAS |
| Other Organization Name | GEMINI PEDIATRIC THERAPY |
| Practice Address |
201 Foch Street Suite 5 Fort Worth TX 76107 |
| Practice Telephone | 8176293293 |
| Mailing Telephone | 8176293293 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | BRADLEY MORIAN (OWNER) |
| Authorized Official Telephone | 8176293293 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Gemini Pediatric Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEDIATRIC THERAPY SERVICES OF TEXAS, LLC | 201 N Foch St Ste 5, Fort Worth, TX 76107-1321 |
| Street Address |
201 FOCH STREET SUITE 5 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245656016 | Molly Regal Halbach | Speech-Language Pathologist | 201 Foch Street, Suite 5, Fort Worth, TX 76107 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1134740426 | Angels Over Texas | Home Health | 7749 Parkwood Plaza Dr, Fort Worth, TX 76137-4383 | 2020-04-28 |
| 1255967303 | Rejoice Wonderful Inc | Home Health | 3752 Waldorf St, Fort Worth, TX 76119-2300 | 2020-03-20 |
| 1033764899 | Helping Hands Restore LLC | Home Health | 3228 Kathy Ln, Fort Worth, TX 76123-2047 | 2019-08-07 |
| 1811458979 | S H Solutions | Home Health | 404 S Oakland Blvd, Fort Worth, TX 76103-3750 | 2019-03-29 |
| 1114487568 | Texans Home Health Care Services LLC | Home Health | 9500 Ray White Rd Ste 210, Fort Worth, TX 76244-6000 | 2019-03-21 |
| 1578055000 | A Unique Heart & Hands | Home Health | 953 E 2nd St, Fort Worth, TX 76102-3234 | 2018-05-31 |
| 1417446873 | Superb Health Care Inc | Home Health | 4121 River Birch Rd, Fort Worth, TX 76137-1187 | 2018-05-01 |
| 1508374216 | Alice Brinkley | Home Health | 7231 Park West Cir Apt 205, Fort Worth, TX 76134-3551 | 2018-01-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on PEDIATRIC THERAPY SERVICES OF TEXAS.
| 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.