Source One Rehabilitation in Fort Worth - Physical Therapy
Source One Rehabilitation - NPI 1235318718
Source One Rehabilitation is a Physical Therapy in Fort Worth, Texas. Source One Rehabilitation practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Source One Rehabilitation is 1235318718. The last update date is 2007-10-31.
Source One Rehabilitation's current location address is Po Box 25006, Fort Worth, Texas. You can contact this provider via phone number 9728012190 and fax number 9728012191. The mailing address for Source One Rehabilitation is Po Box 25006, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Source One Rehabilitation |
|---|---|
| Address | Po Box 25006, Fort Worth, Texas |
| Phone Number | 9728012190 |
| Fax Number | 9728012191 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rogers Jarrod |
| Credentials | PRES |
| Telephone Number | 2145779191 |
NPI Number Detail
| NPI Number | 1235318718 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | Po Box 25006 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761242006 |
| Phone Number | 9728012190 |
| Fax Number | 9728012191 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the unique provider identifier assigned to Source One Rehabilitation?
The Source One Rehabilitation has been issued the NPI (National Provider Identifier) 1235318718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Source One Rehabilitation located?
The Source One Rehabilitation is located at Po Box 25006, Fort Worth, TX 761242006.
What is Source One Rehabilitation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Source One Rehabilitation is Physical Therapy, and the taxonomy classification code that categorizes this area of expertise is 261Qp2000X.
When did the Source One Rehabilitation receive its 1235318718?
The Source One Rehabilitation was issued its 1235318718 on 2007-10-31, which is the date when the organization was assigned this unique identifier.
As of what date were the Source One Rehabilitation's details last updated?
The information pertaining to the Source One Rehabilitation, including its address, specialty, and other details, was most recently updated on 2007-10-31.
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