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SPORTS THERAPY AND REHABILITATION SERVICES NPI 1366517542


NPI Information

NPI: 1366517542
Provider Name: SPORTS THERAPY AND REHABILITATION SERVICES
Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
1555 MERRIMAC CIRCLE
STE 200
FORT WORTH, TX
ZIP 76107
Phone: (817) 870-4949
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SPORTS THERAPY AND REHABILITATION SERVICES is an orthotist in Fort Worth, TX. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. SPORTS THERAPY AND REHABILITATION SERVICES NPI is 1366517542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1555 MERRIMAC CIRCLE
STE 200
FORT WORTH, TX
ZIP 76107
Phone: (817) 870-4949
Fax: (817) 338-2940

The provider's authorized official is Katherine C Sahl .
The authorized official title is Co Owner Physical Therapist and has the following contact phone number (817) 249-6336.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10035GDOTHERTEXASBCBS
2X61316MEDICARE UPINTEXAS
3001085MEDICARE ID-TYPE UNSPECIFIEDTEXAS
4686182OTHERTEXASUNITED HEALTH CARE ACN
53815621OTHERTEXASCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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