LAURA M MCCULLOUGH (NPI# 1679586820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679586820 |
| Entity Type | Individual |
| Full Name | LAURA M MCCULLOUGH |
| Credential | PT |
| Practice Address |
5610 Bridge Street Supplemental Healthcare Fort Worth TX 76112 |
| Mailing Address |
8728 Trinity Vista Trl Hurst TX 76053-7520 |
| Practice Telephone | 8174927058 |
| Mailing Telephone | 8172842427 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1152070 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER# | 8T3285 | 01 |
| TX | BCBS PROVIDER # | 8T4923 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114695 | Laura Cecchi Mccullough | Pediatrics | 340 Wood Rd, Suite 301, Braintree, MA 02184-2401 | 2008-05-16 |
| Street Address |
5610 BRIDGE STREET SUPPLEMENTAL HEALTHCARE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764008 | Fort Worth Cancer Care | Physical Therapist | 4952 Stadium Dr, Fort Worth, TX 76133-1742 | 2020-09-10 |
| 1356953467 | Ellen Wagner | Physical Therapist | 10640 N Riverside Dr Ste 200, Fort Worth, TX 76244-9506 | 2020-08-19 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1588273379 | Sierra Martha Wilson Bautista | Physical Therapist | 1605 5th Ave Apt 11, Fort Worth, TX 76104-4348 | 2020-07-28 |
| 1932727534 | Pcpt, Pllc | Physical Therapist | 3712 Cresthaven Ter, Fort Worth, TX 76107-1016 | 2020-07-09 |
| 1265059422 | Savannah Erin Martinez | Physical Therapist | 2450 Oak Hill Cir Apt 814, Fort Worth, TX 76109-9506 | 2020-07-02 |
| 1548886054 | Kathryn Nicole Bergsma | Physical Therapist | 5612 Pradera Rd, Fort Worth, TX 76126-2035 | 2020-06-20 |
| 1780203539 | Samuel Adrignola | Physical Therapist | 2939 Crockett St Apt 245, Fort Worth, TX 76107-2953 | 2020-04-12 |
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1003457300 | Danieta Kay Grissman | Physical Therapist | 12460 Woods Edge Trl, Fort Worth, TX 76244-9408 | 2019-10-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
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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.