Active NPI
Jacob Torre, PA-C
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1701 River Run Ste 1118
Fort Worth, TX 76107-6557 - Phone
- (972) 221-7900
- NPI assigned
- May 11, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1701 River Run Ste 1118
Fort Worth, TX 76107-6557
Mailing address
6901 River Park LN N Apt 817
Fort Worth, TX 76116-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 S Watters Rd
Suite 130
Allen, TX 75013-5008
Phone (469) 854-3263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Cook Children'S Medical Center | Past | Accepting new patients |
Locations
610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263
777 International Pkwy
Ste 260
Flower Mound, TX 75022
Phone (214) 310-0508
1701 River Run
Ste 1118
Fort Worth, TX 76107
Phone (817) 865-3954
3140 Legacy Dr
Ste 130
Frisco, TX 75034
Phone (888) 902-1704
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506
6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500
768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954
4100 W University Dr
Prosper, TX 75078
Phone (682) 303-4200
3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690
7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- jtorre210697@cookchildrens.direct-ci.com
- jacob.torre.2@25899.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Allen, TX
- NPI 1851037162
-
- Psychiatry Physician
- Allen, TX
- NPI 1790482834
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1942509963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1679195978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 RIVER PARK LN N APT 817",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761161133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RIVER RUN STE 1118",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076557",
"telephone_number": "972-221-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRE",
"first_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.