Pediatric Therapy Associates of FW

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1014991 Issued in TX

Legal business name

PEDIATRIC THERAPY ASSOCIATES OF FW

Practice address

7500 Pebble Dr
Fort Worth, TX 76118-6979

Phone

(817) 589-7033

Fax

(817) 595-1178

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Kathleen Fincher, PTNPI 1528189024

Title

Owner

Phone

(817) 589-7033

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Virginia Kathleen Fincher, P.T.

  • Pediatric Physical Therapist
  • Fort Worth, TX
  • NPI 1528189024
  NPD Authorized official
• Edwena Raylene Tucker, S.L.P.

  • Speech-Language Pathologist
  • Fort Worth, TX
  • NPI 1255531299
  NPD (past)
• Tamara Michelle Young, O.T.R.

  • Occupational Therapist
  • Fort Worth, TX
  • NPI 1699896183
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1447447180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 PEBBLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186979",
            "telephone_number": "817-589-7033",
            "fax_number": "817-595-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 PEBBLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186979",
            "telephone_number": "817-589-7033",
            "fax_number": "817-595-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY ASSOCIATES OF FW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "FINCHER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-589-7033",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1014991",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedialife Home Health Inc.
• Pediatric Echocardiography Diagnostic Services
• Pediatric Eye Specialists LLP
• Pediatric Home Healthcare, LLC
• Pediatric Surgical Associates of Ft. Worth, P. a.
• Pediatric Therapy Services of Texas
• Pediatric Urgent Care Center of Fort Worth, P.a..
• Pediatric Urgent Care Center of North Texas
• Pediatrix Medical Group of Texas Billing, Inc.
• Pediatrix Medical Group of Texas Billing, Inc.

• 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 Dec 16, 2019; 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.