Fort Worth Cancer Care, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FORT WORTH CANCER CARE, PLLC

Practice address

1020 Macon St Ste 9
Fort Worth, TX 76102-4562

Phone

(469) 607-5966

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Elise Cantu, PTNPI 1083194039

Title

Ceo

Phone

(469) 607-5966

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elise K. Cantu, PT

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1083194039
  NPD Authorized official

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1437764008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MACON ST STE 9",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024562",
            "telephone_number": "469-607-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MACON ST STE 9",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024562",
            "telephone_number": "469-607-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH CANCER CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-607-5966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fort Worth Cosmetic & Family Dentistry

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.