Active NPI
Spotlight Pro Management
- Physiological Laboratory
- Fort Worth, TX
National Provider Identifier
1255737276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- SPOTLIGHT PRO MANAGEMENT
- Practice address
- 1001 12TH Ave
Suite 170
Fort Worth, TX 76104-3926 - Phone
- (817) 905-6310
- NPI assigned
- Nov 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina L Thompson
- Title
- President
- Phone
- (817) 905-6310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
1001 12TH Ave
Suite 170
Fort Worth, TX 76104-3926
Mailing address
7016 Sandalwood LN
Fort Worth, TX 76116-9058
Phone (817) 905-6310
Other names 1
- Spotlight Health Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1255737276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 SANDALWOOD LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761169058",
"telephone_number": "817-905-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 12TH AVE",
"address_2": "SUITE 170",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043926",
"telephone_number": "817-905-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPOTLIGHT PRO MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-905-6310"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spotlight Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Sportcare Rehabilitation Inc
- Sportherapy LLC
- Sportherapy Southwest, PC
- Sports Rehabilitation Specialists, Inc
- Sports Therapy and Rehabilitation Services
- Ephrian Spraberry, DC
- Shenan Spraberry, LPC, PH.D
- Frederick L Spradley, D.D.S. AND M.S.D.
- Larry Wilson Spradley, D.D.S., M.S.
- Lauren Nicole Spradling, LPC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.