FAST TWITCH ATHLETIC WELLNESS, LLC (NPI# 1700195393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700195393 |
| Entity Type | Organization |
| Organization Name | FAST TWITCH ATHLETIC WELLNESS, LLC |
| Other Organization Name | FAST TWITCH ATHLETIC TRAINING & PERSONAL WELLNESS CENTER |
| Practice Address |
24022 Cinco Village Center Blvd Suite 120 Katy TX 77494-8397 |
| Practice Telephone | 2813913648 |
| Mailing Telephone | 2813913648 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | MR. DEMOND C. JORDAN (FOUNDER/GENERAL MANAGER) |
| Authorized Official Telephone | 2818652236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
1170668 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Fast Twitch Athletic Training & Personal Wellness Center | Other Name - Individual/Organization |
| Street Address |
24022 CINCO VILLAGE CENTER BLVD SUITE 120 |
| City | KATY |
| State | TX |
| Zip Code | 77494-8397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528011343 | Theodora Mucher | Pediatrics | 24022 Cinco Village Center Blvd, Suite 100, Katy, TX 77494-8397 | 2006-05-19 |
| 1194270579 | Txfas Pllc | Podiatrist | 24022 Cinco Village Center Blvd, Suite 240, Katy, TX 77494-8397 | 2016-08-16 |
| 1215373618 | Phillip David Applegate Jr. | Podiatrist | 24022 Cinco Village Center Blvd, Ste 240, Katy, TX 77494-3393 | 2013-05-13 |
| 1265799662 | Parkway Ent and Allergy, Pa | Clinic/Center | 24022 Cinco Village Center Blvd, Suite 220, Katy, TX 77494-8397 | 2012-04-23 |
| 1023307246 | Ami C. Foster, M.d., P.a. | Clinic/Center | 24022 Cinco Village Center Blvd, Suite 240, Katy, TX 77494-8397 | 2011-03-29 |
| 1700106747 | Tch Pediatric Associates, Inc | Pediatrics | 24022 Cinco Village Center Blvd, Suite 100, Katy, TX 77494-8397 | 2010-06-01 |
| 1023267481 | Brae Lin Mcdougald | Audiologist | 24022 Cinco Village Center Blvd, Suite 220, Katy, TX 77494-8397 | 2008-09-10 |
| 1427252345 | The Artisan Center for Plastic Surgery | Specialist | 24022 Cinco Village Center Blvd, Suite 250, Katy, TX 77494-8397 | 2007-06-13 |
| 1831319292 | Bruce Allen Rodgers Jr. | Surgery | 24022 Cinco Village Center Blvd, Suite 250, Katy, TX 77494-8397 | 2007-04-26 |
| 1669501896 | Sarita Kini-pai | Pediatrics | 24022 Cinco Village Center Blvd, Ste. 100, Katy, TX 77494-8397 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506157 | Emma Julia Regenbaum | Physical Therapist | 19200 Preston Rd # 120, Dallas, TX 75252-2450 | 2020-07-22 |
| 1629603592 | Dorcas Copa | Physical Therapist | 1612 Stuart St, Houston, TX 77004-2945 | 2020-03-11 |
| 1669007761 | Kyle Barnett | Physical Therapist | 14216 Vernon Ave, Lubbock, TX 79423-7715 | 2020-03-09 |
| 1023643517 | Kevin Maloney | Physical Therapist | 2206 Stuart St, Houston, TX 77004-3151 | 2020-03-05 |
| 1427682673 | Thomas Latimore | Physical Therapist | 9305 Pinecroft Dr Ste 450, The Woodlands, TX 77380-3483 | 2020-02-26 |
| 1871127001 | Steven Higbie | Physical Therapist | 17520 W Grand Pkwy S Ste 100, Sugar Land, TX 77479-4759 | 2020-02-26 |
| 1841830122 | Justin C Tallard | Physical Therapist | 4885 Alpha Rd Ste 135, Dallas, TX 75244-4637 | 2020-01-14 |
| 1881234474 | Brian Nguyen | Physical Therapist | 16636 House Hahl Rd, Cypress, TX 77433-5357 | 2020-01-10 |
| 1992355622 | Steven Islas | Physical Therapist | 2700 W Sam Houston Pkwy N, Houston, TX 77043-1608 | 2019-09-15 |
| 1316591886 | John Walter Warner Jr. | Physical Therapist | 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 | 2019-08-01 |
| 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.