KELLI ANNE BESANCON (NPI# 1760638084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760638084 |
| Entity Type | Individual |
| Full Name | KELLI ANNE BESANCON |
| Credential | P.T. |
| Practice Address |
11751 Alta Vista Rd Fort Worth TX 76244-6441 |
| Mailing Address |
12601 Lillybrook Ln Fort Worth TX 76244-5747 |
| Practice Telephone | 8174314242 |
| Mailing Telephone | 6173041232 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1204970 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11751 ALTA VISTA RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548450539 | Aisha Khan | Family Medicine | 11751 Alta Vista Rd, Ste 103, Fort Worth, TX 76244-6441 | 2007-07-26 |
| 1558808790 | Texas Injury & Wellness Clinic LLC | Chiropractor | 11751 Alta Vista Rd, Suite 201, Fort Worth, TX 76244-6441 | 2017-01-26 |
| 1871043646 | Core Rehabilitation | Clinic/Center | 11751 Alta Vista Rd, Suite 301, Fort Worth, TX 76244-6441 | 2016-10-05 |
| 1669861415 | New Beginnings Concierge Service,inc. | Chiropractor | 11751 Alta Vista Rd, Suite 201, Fort Worth, TX 76244-6441 | 2015-01-16 |
| 1932504354 | Schuster Chiropractic Wellness Center, Pllc | Chiropractor | 11751 Alta Vista Rd, Suite 201, Fort Worth, TX 76244-6441 | 2014-10-28 |
| 1881024503 | Jennifer Renee Ramsey | Speech-Language Pathologist | 11751 Alta Vista Rd, Ste 303, Fort Worth, TX 76244-6441 | 2013-11-15 |
| 1922440957 | Educare Therapy, LLC | Occupational Therapist | 11751 Alta Vista Rd, Ste 303, Fort Worth, TX 76244-6441 | 2013-07-18 |
| 1083923312 | Dfw Atlantex LLC | Pharmacy | 11751 Alta Vista Rd, Suite 401, Fort Worth, TX 76244-6441 | 2010-10-05 |
| 1881913028 | Navjot Bajwa Md Pa | Family Medicine | 11751 Alta Vista Rd, Suite 103, Fort Worth, TX 76244-6407 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361470 | Mitchell Glenn Rausch | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-02-08 |
| 1881832186 | Kristina Lynch Martin | Physical Therapist | 5950 Bryant Irvin Rd Ste 200, Fort Worth, TX 76132-4230 | 2009-01-26 |
| 1942814926 | Whitney Goldie Mills | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2020-09-07 |
| 1790344265 | Jimmy Dale Smith | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-06-10 |
| 1104325398 | Laura Record | Physical Therapist | 6407 Southwest Blvd, Fort Worth, TX 76132 | 2018-02-02 |
| 1720530488 | Icats Medical Consultants LLC | Physical Therapist | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2016-10-28 |
| 1871958546 | Aaron Miller | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-12-23 |
| 1457728230 | Premier Rehab Physical Therapy and Aquatics | Physical Therapist | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131-4302 | 2015-08-27 |
| 1184009474 | Cpt Specialty Group LLC | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-07-28 |
| 1215336854 | Zach Sedino | Physical Therapist | 5411 Basswood Blvd Ste 225, Fort Worth, TX 76137-4479 | 2014-08-20 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on KELLI ANNE BESANCON.
| 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.