Active NPI
Joanne Medford, PTA
- Physical Therapy Assistant
- Fort Worth, TX
National Provider Identifier
1457833816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2034726
- Practice address
- 1704 Wilson Rd
Fort Worth, TX 76112 - Phone
- (682) 553-3337
- NPI assigned
- Sep 2, 2018
- Last updated
- Sep 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2034726 | TX | Primary |
Addresses
Primary practice location
1704 Wilson Rd
Fort Worth, TX 76112
Mailing address
1704 Wilson Rd
Fort Worth, TX 76112
Phone (682) 553-3337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2034726 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535846400000",
"number": "1457833816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 WILSON RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "682-553-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 WILSON RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "682-553-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDFORD",
"first_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-02",
"last_updated": "2018-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2034726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Gerardo Mederos, MD
- Medexpress Urgent Care Texas, P.a. (MedExpress Urgent Care - Fort Worth, S Hulen St)
- Medexpress Urgent Care Texas, P.a. (MedExpress Urgent Care - Keller, N Tarrant Pkwy)
- Ashley Lowe Medford, NP
- David C Medford, DDS
- Medfund LLC (Horizon Fort Worth LLC)
- Medhealth Center Inc
- Medica-Rents Co LLC
- Medica-Rents Co., LTD
- Medical Assessments Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.