NPIMap

Organization Active NPI

Sportcare Rehabilitation Inc

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1295816965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTCARE REHABILITATION INC
Practice address
4750 Bryant Irvin Rd N
Fort Worth, TX 76107-7641
Phone
(817) 923-9000
Fax
(817) 923-9033
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis J Curnyn, P.T.NPI 1003939174
Title
Owner
Phone
(817) 923-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X TX Primary

Addresses

Primary practice location

4750 Bryant Irvin Rd N
Fort Worth, TX 76107-7641

Mailing address

4750 Bryant Irvin Rd N
Fort Worth, TX 76107-7641
Phone (817) 923-9000

Other identifiers 1

IdentifierTypeStateIssuer
80350TOtherTXBCBS PROVIDER NUMBER

Other names 1

  • Sportcare Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000698 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729997119 Receives reassigned benefits from 17 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

3000 Shotts St
Fort Worth, TX 76107
Phone (682) 207-8298

4750 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 923-9000

1717 Precinct Line Rd
Hurst, TX 76054
Phone (214) 455-2420

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295816965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 BRYANT IRVIN RD N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077641",
            "telephone_number": "817-923-9000",
            "fax_number": "817-923-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 BRYANT IRVIN RD N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077641",
            "telephone_number": "817-923-9000",
            "fax_number": "817-923-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTCARE REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURNYN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-923-9000",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "80350T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sportcare Physical Therapy",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.