SPORTHERAPY LLC NPI 1386132132

NPI Information

NPI: 1386132132
Provider Name: SPORTHERAPY LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
6501 HARRIS PKWY
FORT WORTH, TX
ZIP 76132
Phone: (817) 370-9891
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SPORTHERAPY LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Fort Worth, TX. SPORTHERAPY LLC NPI is 1386132132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6501 HARRIS PKWY
FORT WORTH, TX
ZIP 76132-102
Phone: (817) 370-9891
Fax: (817) 370-9894

The provider's authorized official is Steve Lackey .
The authorized official title is Managing Member and has the following contact phone number (817) 370-9891.

The enumeration date for this NPI number is 4/27/2018 and was last updated on 8/31/2020.

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	225100000X	Physical Therapist				No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			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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