Organization Active NPI

PTW Chiropractic, PLLC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1265619860
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10742 Issued in TX
Legal business name
PTW CHIROPRACTIC, PLLC
Practice address
501 Carroll St
Suite #612
Fort Worth, TX 76107-2292
Phone
(817) 348-8488
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Lauren Elizabeth Letz, D.C.
Title
Owner/President
Phone
(214) 608-8625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10742 TX Primary

Addresses

Primary practice location

501 Carroll St
Suite #612
Fort Worth, TX 76107-2292

Mailing address

501 Carroll St
Suite #612
Fort Worth, TX 76107-2292
Phone (817) 348-8488

Other identifiers 1

IdentifierTypeStateIssuer
00Z419OtherTXMEDICARE NUMBER

Other names 1

  • Path To Wellness Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

501 Carroll St
Ste 654
Ft Worth, TX 76107
Phone (817) 348-8488

501 Carroll St
Ste 612
Ft Worth, TX 76107
Phone (817) 348-8488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1265619860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CARROLL ST",
            "address_2": "SUITE #612",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072292",
            "telephone_number": "817-348-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CARROLL ST",
            "address_2": "SUITE #612",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072292",
            "telephone_number": "817-348-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTW CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "LETZ",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "214-608-8625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "00Z419",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Path To Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 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.

Verify at the official NPI Registry.