Westside Concierge Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WESTSIDE CONCIERGE PHYSICAL THERAPY

Practice address

711 Commerce St
Ft Worth, TX 76102-5442

Phone

(817) 675-0575

Fax

(817) 697-0002

NPI assigned

Feb 6, 2022

Organization subpart

No

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

Authorized official

Name

Patricia Smith, PTNPI 1184936122

Title

Physical Therapist/Owner

Phone

(817) 675-0575

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.

• Patricia Grant Smith, PT

  • Sports Physical Therapist
  • Fort Worth, TX
  • NPI 1184936122
  NPD (past) Authorized official

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1639823958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 FORTUNE RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761167209",
            "telephone_number": "817-675-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COMMERCE ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761025442",
            "telephone_number": "817-675-0575",
            "fax_number": "817-697-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CONCIERGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "817-675-0575",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Westwood, LCDC
• Liberty B Wethington, CP

• Physical Therapy Clinic/Center in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.