Active NPI
William Chad Pittmon, PT, DPT
- Neurology Physical Therapist
- Fort Worth, TX
National Provider Identifier
1184070633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 1274755
- Practice address
- 2600 Cherry LN # 140
Fort Worth, TX 76116-3920 - Phone
- (682) 312-7693
- NPI assigned
- May 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1274755 | TX | |
| Neurology Physical Therapist | 2251N0400X | 1274755 | TX | Primary |
Addresses
Primary practice location
2600 Cherry LN # 140
Fort Worth, TX 76116-3920
Mailing address
6913 Camp Bowie Blvd
Ste 177
Fort Worth, TX 76116-7169
Phone (817) 367-9882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1184070633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 CAMP BOWIE BLVD",
"address_2": "STE 177",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167169",
"telephone_number": "817-367-9882",
"fax_number": "817-367-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 CHERRY LN # 140",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761163920",
"telephone_number": "682-312-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMON",
"first_name": "WILLIAM",
"middle_name": "CHAD",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1274755",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "TX",
"license": "1274755",
"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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.