Pedi Spot Llc is a Rehabilitation in Fort Worth, Texas. Pedi Spot Llc practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Pedi Spot Llc is 1235338153. The last update date is 2009-03-31.
Pedi Spot Llc's current location address is 1617 Park Place Ave, #110, Fort Worth, Texas. You can contact this provider via phone number 8179215020 and fax number 8179215022. The mailing address for Pedi Spot Llc is 1617 Park Place Ave, #110, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pedi Spot Llc |
|---|---|
| Address | 1617 Park Place Ave, #110, Fort Worth, Texas |
| Phone Number | 8179215020 |
| Fax Number | 8179215022 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Casey E. Neil |
| Telephone Number | 9725967700 |
NPI Number Detail
| NPI Number | 1235338153 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2009-03-31 |
Provider Mailing Address Detail
| Address | 1617 Park Place Ave, #110 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761101300 |
| Phone Number | 8179215020 |
| Fax Number | 8179215022 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 261Qr0400X |
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Definition: Helps patients regain function after illness, injury or surgery through therapeutic interventions. |
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What is the unique 10-digit identifier code issued to Pedi Spot Llc by the Centers for Medicare & Medicaid Services?
The Pedi Spot Llc has been assigned the NPI (National Provider Identifier) 1235338153 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pedi Spot Llc is physically located?
The Pedi Spot Llc is physically situated at the following address: 1617 Park Place Ave, #110, Fort Worth, TX, 761101300.
What is Pedi Spot Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pedi Spot Llc's specialized field of practice is Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235338153 to Pedi Spot Llc?
The Pedi Spot Llc received its 1235338153 assignment from the Centers for Medicare & Medicaid Services on 2007-07-11.
When was the information pertaining to Pedi Spot Llc most recently updated or revised?
The details related to Pedi Spot Llc, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-31.