Cross Timbers Physical Therapy Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1067213 Issued in TX

Legal business name

CROSS TIMBERS PHYSICAL THERAPY CENTER

Doing business as

SMART Institute

Practice address

3600 W. 7TH St
Fort Worth, TX 76107-2534

Phone

(817) 377-3422

Fax

(817) 735-8615

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Miss Gwen R Dene Hanson, OTRNPI 1306984208

Title

Partner/Owner

Phone

(817) 377-3422

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SMART Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Gwen R'Dene Hanson, OTR

  • Occupational Therapist
  • Fort Worth, TX
  • NPI 1306984208
  NPD Authorized official

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1659353597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072534",
            "telephone_number": "817-377-3422",
            "fax_number": "817-735-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W. 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072534",
            "telephone_number": "817-377-3422",
            "fax_number": "817-735-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TIMBERS PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "R DENE",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "817-377-3422",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1067213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086000902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086000901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMART Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Christopher Crook, LMFT, LCDC
• Victoria Anne Crook, PT, DP
• Germaine T. Croom, PHARM.D,
• Marcella M. Cropper, R.PH.
• Cross Soriano Optometry Partnership (Fort Worth Optometry Co.)
• Abigayle Ryan Cross, PA-C
• Christian Cross, OD
• Emma Engels Cross, BCBA
• Jennifer Cross, DDS
• Molly Cross, PT, DPT

• Physical Therapy Clinic/Center in Fort Worth, TX
• Providers in Fort 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 Jun 27, 2023; 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.