Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fort Worth Pediatric Therapy PLLC

Organization Speech-Language Pathologist · NPI 1083407365

Fort Worth Pediatric Therapy PLLC is a Speech-Language Pathologist in Fort Worth, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12800 Portifino St
Fort Worth, TX 76126-6108
Phone: (817) 253-9878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1083407365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abigail Earl — Ceo · (817) 253-9878
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address12800 Portifino St, Fort Worth, TX 76126-6108

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