423 Therapy Pllc is a medicare enrolled "Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)" provider in Fort Worth, Texas. Their current practice location is
6850 Manhattan Blvd Ste 300-1, Fort Worth, Texas. You can reach out to their office (for appointments etc.) via phone at
(469) 698-6934.
423 Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 423 Therapy Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1851851984.
Healthcare Provider's Profile
| Full Name | 423 Therapy Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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| Location | 6850 Manhattan Blvd Ste 300-1, Fort Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851851984
- Provider Enumeration Date: 03/24/2019
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062749179
- Enrollment ID: O20190813001147
Medical Identifiers
Medical identifiers for 423 Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851851984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
423 Therapy Pllc acts as a billing entity for following providers:
| Provider Name | Amy Marie Ciraulo |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1780190116
PECOS PAC ID: 3971830084
Enrollment ID: I20190813001352 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 423 Therapy Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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423 Therapy Pllc
Po Box 822642,
North Richland Hills, TX 76182-2642
Ph: () - | 423 Therapy Pllc
6850 Manhattan Blvd Ste 300-1,
Fort Worth, TX 76120-1227
Ph: (469) 698-6934 |
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