SPORTHERAPY SOUTHWEST, PC (NPI# 1801812698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801812698 |
| Entity Type | Organization |
| Organization Name | SPORTHERAPY SOUTHWEST, PC |
| Practice Address |
6037 Harris Pkwy Fort Worth TX 76132-4103 |
| Practice Telephone | 8173709891 |
| Practice Fax Number | 8173709894 |
| Mailing Telephone | 8173709891 |
| Mailing Fax Number | 8173709894 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | MR. STEVEN B LACKEY (BUSINESS DIRECTOR) |
| Authorized Official Telephone | 8173709891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 605100000 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
605100000 | TX | Ambulatory Health Care Facilities |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
605100000 | TX | Ambulatory Health Care Facilities |
| Street Address |
6037 HARRIS PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587827 | Ian Ekery | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2018-02-05 |
| 1679089593 | Kristen Perek | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2017-12-15 |
| 1861912750 | Ryan Wigley | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2017-06-22 |
| 1144611385 | Daniel Carrell | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2015-02-10 |
| 1942602982 | Louise Vraney | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2014-09-22 |
| 1194149856 | Kathleen E Sullivan | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2014-02-14 |
| 1073947933 | Trey Dulaney | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2013-08-28 |
| 1356775142 | Emily Davison | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2013-08-28 |
| 1558600858 | Lindsay Muller | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2013-02-06 |
| 1124374921 | Brandon Michael O'malley | Physical Therapist | 6037 Harris Pkwy, Fort Worth, TX 76132-4103 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801052469 | Universal Health Rehab Services, Inc | Clinic/Center | 1200 Country Club Ln, Fort Worth, TX 76112-2353 | 2008-08-04 |
| 1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
| 1154343291 | Kass Inc | Clinic/Center | 2817 Stark St, Suite D, Fort Worth, TX 76112-6562 | 2006-07-25 |
| 1386647634 | Advanced Neurological Services | Clinic/Center | 2755 Alta Mesa Blvd, Fort Worth, TX 76133-5803 | 2005-05-31 |
| 1114382975 | Kass | Clinic/Center | 2817 Stark St, Fort Worth, TX 76112-6562 | 2015-12-22 |
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|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
| 1376016410 | Elite 360 Health and Wellness | Clinic/Center | 1409 S Lamar, Ste. 245, Dallas, TX 75215-6818 | 2019-01-10 |
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on SPORTHERAPY SOUTHWEST, PC.
| 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.