Unknown Anushree
Individual provider Active NPI Physical Therapist · Bedford, TX
NPI 1922473362 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1922473362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1252510 (TX)
- Practice address
- 1424 Airport Fwy Ste U
Bedford, TX 76022-6783 - Phone
- (817) 858-0390
- Fax
- (817) 858-0842
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1252510 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Oaks Physical Therapy Limited Partnership | Past | Accepting new patients | |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1252510 | TX | Yes |
Addresses
Primary practice location
1424 Airport Fwy Ste U
Bedford, TX 76022-6783
Mailing address
1424 Airport Fwy Ste U
Bedford, TX 76022-6783
Phone (817) 858-0390
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.