Organization Active NPI

Kass

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
National Provider Identifier
1114382975
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
454812 Issued in TX
Legal business name
KASS
Practice address
2817 Stark St
Fort Worth, TX 76112-6562
Phone
(817) 451-6413
Fax
(817) 451-7712
NPI assigned
Dec 22, 2015
Organization subpart
Yes
Parent organization
KASS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelley Strawther
Title
Administrator
Phone
(817) 451-6413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 454812 TX Primary

Addresses

Primary practice location

2817 Stark St
Fort Worth, TX 76112-6562

Mailing address

2817 Stark Street
Fort Worth, TX 76112
Phone (817) 451-6413

National Provider Directory

National Provider Directory
Part of
Kass Inc

Locations

2817 Stark St
Ft Worth, TX 76112
Phone (817) 371-4591

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11656/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1114382975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 STARK STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76112",
            "telephone_number": "817-451-6413",
            "fax_number": "817-451-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 STARK ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126562",
            "telephone_number": "817-451-6413",
            "fax_number": "817-451-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KASS, INC.",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "STRAWTHER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-451-6413"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "454812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.