Fort Worth Healthcare Systems LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORT WORTH HEALTHCARE SYSTEMS LLC

Practice address

1002 Montgomery St
Fort Worth, TX 76107-2693

Phone

(817) 377-4011

Fax

(817) 377-9269

NPI assigned

May 17, 2006

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda L Riley

Title

Adminstrator

Phone

(214) 943-9431

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Daniel Hernandez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1649265075

  I20231114002521

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bayleigh Nickole Fortiz, OT

  • Physical Rehabilitation Occupational Therapist
  • Waxahachie, TX
  • NPI 1336924521

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1376595348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3770",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081070",
            "telephone_number": "817-377-4011",
            "fax_number": "817-377-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072693",
            "telephone_number": "817-377-4011",
            "fax_number": "817-377-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH HEALTHCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "214-943-9431"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0041MA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Hand Center
• Fort Worth Head Neck and Jaw PLLC (Ried Physical Therapy)
• Fort Worth Health Alliance, LLC
• Fort Worth Health Rejuvenation
• Fort Worth Health, LLC
• Fort Worth Heart, P.a.
• Fort Worth HK Group Health, LLC
• Fort Worth I Enterprises, LLC (Healthy Images of Texas)
• Fort Worth I Enterprises, LLC Dba Healthy Images of Texas
• Fort Worth III Enterprises, LLC (Arlington Heights Health and Rehabilitation Center)

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.