Individual provider Active NPI

Austin M Bass, DPT

  • Orthopedic Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1972351278
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
OR260872 Issued in TX
Practice address
1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946
Phone
(817) 719-7714
Fax
(817) 796-1114
NPI assigned
May 10, 2024
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1391884 TX
Orthopedic Physical Therapist 2251X0800X OR260872 TX Primary

Addresses

Primary practice location

1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946

Mailing address

1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946
Phone (817) 719-7714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523001102 TX Practitioner - Physical Therapist in Private Practice 0749622629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearcut Ortho LLCGroup PAC ID 2365794609, 14 clinicians
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

1001 12TH Ave
Suite 201
Fort Worth, TX 76104-3946
Phone (817) 719-7714

3033 Acme Brick PLZ
Fort Worth, TX 76109-4227
Phone (817) 484-4447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist CurrentSince May 8, 2024 Accepting new patients
Clearcut Ortho, LLC Physical Therapist CurrentSince May 24, 2025 Accepting new patients
Peter D Leonard, M.D. PA PastSince May 24, 2025 Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients
Gateway Partners Inc Physical Therapist PastSince Dec 15, 2011 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

245 W Main St
Azle, TX 76020
Phone (817) 270-2975

12457 Timberland Blvd
Ste 205
Fort Worth, TX 76244
Phone (682) 213-3006

2732 W 5th St
Fort Worth, TX 76107
Phone (817) 406-6100

750 W Bonds Ranch Rd
Ste 300
Fort Worth, TX 76131
Phone (682) 428-7532

7630 N Beach St
Ste 180
Fort Worth, TX 76137
Phone (682) 428-9900

1001 12th Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 719-7714

8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700

4108 Boat Club Rd
Lake Worth, TX 76135
Phone (817) 238-9295

167 Regency Pkwy
Ste 105
Mansfield, TX 76063
Phone (682) 341-0076

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1972351278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043946",
            "telephone_number": "817-719-7714",
            "fax_number": "817-796-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043946",
            "telephone_number": "817-719-7714",
            "fax_number": "817-796-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "AUSTIN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1391884",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "OR260872",
            "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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.