PREMIER REHAB PHYSICAL THERAPY AND AQUATICS (NPI# 1457728230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457728230 |
| Entity Type | Organization |
| Organization Name | PREMIER REHAB PHYSICAL THERAPY AND AQUATICS |
| Practice Address |
2720 Western Center Blvd Suite 312 Fort Worth TX 76131-4302 |
| Mailing Address |
5060 Davis Blvd North Richland Hills TX 76180-7004 |
| Practice Telephone | 8178470200 |
| Mailing Telephone | 8174988585 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | KELLY MCFARLAND (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 8174988585 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1264458 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2720 WESTERN CENTER BLVD SUITE 312 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76131-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750704136 | Tran Vision Associates, Pllc | Optometrist | 2720 Western Center Blvd, Suite 316, Fort Worth, TX 76131-4302 | 2014-01-21 |
| 1336513167 | Jason Graham | Physical Therapist | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131-4302 | 2015-11-17 |
| 1003280017 | Tyler T Nguyen | Optometrist | 2720 Western Center Blvd, Suite 316, Fort Worth, TX 76131-4302 | 2015-11-15 |
| 1154735934 | Michael Tran | Optometrist | 2720 Western Center Blvd, Suite 316, Fort Worth, TX 76131-4302 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
| 1578056016 | Anna Spencer | Dentist | 608 E Bailey Boswell Rd Ste 100, Saginaw, TX 76131 | 2018-06-10 |
| 1396010096 | Samuel H. Davis Md Pa | Pediatrics | 604 E. Bailey Boswell, Suite 140, Saginaw, TX 76131 | 2012-03-13 |
| 1326358961 | Chad A. Curlee, D.o., P.a. | Family Medicine | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131 | 2010-10-18 |
| 1184937302 | Hemanth Sahukar | Dentist | 7260 Blue Mound Rd Ste 148, Fort Worth, TX 76131 | 2010-07-16 |
| 1427207174 | Er Dental Pllc | Dentist | 2700 Western Center Blvd, Suite 128, Fort Worth, TX 76131 | 2008-09-17 |
| 1295956787 | Michael Robert Jarrard | Preventive Medicine | Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 | 2007-05-01 |
| 1578692349 | Gail Ann Hollar | Dentist | 2700 Western Center Blvd., #128, Fort Worth, TX 76131 | 2007-03-05 |
| 1588869036 | Blue Mound Volunteer Fire Department | Emergency Medical Technician, Basic | 301 S Blue Mound Rd, Blue Mound, TX 76131-1030 | 2007-06-15 |
| 1114987294 | Ronald Richard Redden | Specialist/Technologist | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2006-03-24 |
| Find all providers in zip 76131 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361470 | Mitchell Glenn Rausch | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-02-08 |
| 1881832186 | Kristina Lynch Martin | Physical Therapist | 5950 Bryant Irvin Rd Ste 200, Fort Worth, TX 76132-4230 | 2009-01-26 |
| 1942814926 | Whitney Goldie Mills | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2020-09-07 |
| 1790344265 | Jimmy Dale Smith | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-06-10 |
| 1104325398 | Laura Record | Physical Therapist | 6407 Southwest Blvd, Fort Worth, TX 76132 | 2018-02-02 |
| 1720530488 | Icats Medical Consultants LLC | Physical Therapist | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2016-10-28 |
| 1871958546 | Aaron Miller | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-12-23 |
| 1184009474 | Cpt Specialty Group LLC | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-07-28 |
| 1215336854 | Zach Sedino | Physical Therapist | 5411 Basswood Blvd Ste 225, Fort Worth, TX 76137-4479 | 2014-08-20 |
| 1053736843 | Christina Garcia | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2014-03-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76131 |
Please comment or provide details below to improve the information on PREMIER REHAB PHYSICAL THERAPY AND AQUATICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.