Sportherapy Southwest, Pc is a
Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) based in Fort Worth, Texas. Sportherapy Southwest, Pc is licensed to practice in Texas (license number 605100000) and their current practice location is
6037 Harris Pkwy, Fort Worth, Texas. It can be reached at their office (for appointments etc.) via phone at
(817) 370-9891.
NPI number for Sportherapy Southwest, Pc is 1801812698 and their current mailing address is 6037 Harris Pkwy, Fort Worth, Texas. Sportherapy Southwest, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801812698.
Healthcare Provider's Profile
| Full Name | Sportherapy Southwest, Pc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
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| Location | 6037 Harris Pkwy, Fort Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801812698
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 05/20/2014
Medical Identifiers
Medical identifiers for Sportherapy Southwest, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801812698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 605100000 (Texas) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | 605100000 (Texas) | Secondary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | 605100000 (Texas) | Primary |
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. Sportherapy Southwest, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sportherapy Southwest, Pc
6037 Harris Pkwy,
Fort Worth, TX 76132-4103
Ph: (817) 370-9891 | Sportherapy Southwest, Pc
6037 Harris Pkwy,
Fort Worth, TX 76132-4103
Ph: (817) 370-9891 |
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