Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Outpatient Physical Therapy

Organization Physical Therapist · NPI 1073648564

Outpatient Physical Therapy provides Physical Therapist services in Ft Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1617 Park Place Ave Ste 110
Ft Worth, TX 76110-1300
Phone: (817) 923-1800
Fax: (817) 923-2059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1065415 (TX)
Physical Therapist Taxonomy 225100000X · Licence 1043453 (TX)

Record details

NPI number1073648564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cyndee Harrison — President · (817) 923-1800
NPI enumeratedFebruary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1617 Park Place Ave Ste 110, Ft Worth, TX 76110-1300

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