Active NPI
Jason Fracchia, DPT
- Physical Therapist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 7630 N Beach St
Fort Worth, TX 76137-1299 - Phone
- (817) 370-9891
- NPI assigned
- Jan 13, 2021
- Last updated
- Jan 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
7630 N Beach St
Fort Worth, TX 76137-1299
Mailing address
6501 Harris Pkwy
Fort Worth, TX 76132-6102
Phone (817) 370-9891
Other practice location 1
12457 Timberland Blvd Ste 205
Fort Worth, TX 76244-5211
Phone (817) 370-9891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125994 | Other | TX | TEMP PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Baylor College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7630 N Beach St
Suite 180
Fort Worth, TX 76137-3017
Phone (817) 428-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy LLC | Physical Therapist | Current | Accepting new patients |
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
| Gateway Partners Inc | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
12457 Timberland Blvd
Ste 205
Fort Worth, TX 76244
Phone (682) 213-3006
7630 N Beach St
Ste 180
Fort Worth, TX 76137
Phone (682) 428-9900
7630 N Beach St
Ft Worth, TX 76137
Phone (817) 428-9900
8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700
965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1295324309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 HARRIS PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761326102",
"telephone_number": "817-370-9891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7630 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371299",
"telephone_number": "817-370-9891"
}
],
"practiceLocations": [
{
"address_1": "12457 Timberland Blvd Ste 205",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762445211",
"country_code": "US",
"telephone_number": "817-370-9891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRACCHIA",
"first_name": "JASON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMP PT LICENSE",
"identifier": "3125994",
"state": "TX"
}
],
"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 Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.