PEDI SPOT LLC NPI 1235338153

NPI Information

NPI: 1235338153
Provider Name: PEDI SPOT LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1617 PARK PLACE AVE, #110
FORT WORTH, TX
ZIP 76110
Phone: (817) 921-5020
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PEDI SPOT LLC is a rehabilitation clinic center in Fort Worth, TX. PEDI SPOT LLC NPI is 1235338153. The provider is registered as an organization entity type.

The provider's business location address is:

1617 PARK PLACE AVE, #110
FORT WORTH, TX
ZIP 76110-300
Phone: (817) 921-5020
Fax: (817) 921-5022

The provider's authorized official is Neil E. Casey .
The authorized official title is President & Ceo and has the following contact phone number (972) 596-7700.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 3/31/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

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: 11/14/2023

NPI Synchronization or Removal

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