Basic Information
| Provider Information | |||||||||
| NPI: | 1073278974 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERAPY ASSOCIATES OF TEXAS, LP | ||||||||
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| OtherOrganizationName: | THERAPY ASSOCIATES OF TEXAS DENTON | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 BAILEY AVE STE 750 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761072175 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174020269 | ||||||||
| FaxNumber: | 8174020336 | ||||||||
| Practice Location | |||||||||
| Address1: | 2535 W OAK ST STE 101 | ||||||||
| Address2: | |||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762012331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403822649 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2021 | ||||||||
| LastUpdateDate: | 09/02/2022 | ||||||||
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| AuthorizedOfficialLastName: | SAWYER | ||||||||
| AuthorizedOfficialFirstName: | APRIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | SR DIR OF REV CYCLE MGMT | ||||||||
| AuthorizedOfficialTelephone: | 8172025179 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.