Sportherapy Llc - Medicare in Fort Worth, TX

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Sportherapy Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Fort Worth, Texas. Their current practice location is 6501 Harris Pkwy, Fort Worth, Texas. You can reach out to their office (for appointments etc.) via phone at (817) 370-9891.

Sportherapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sportherapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1386132132.

Contact Information

Sportherapy Llc
6501 Harris Pkwy,
Fort Worth, TX 76132-6102
(817) 370-9891
(817) 370-9894

Map and Direction




Healthcare Provider's Profile

Full NameSportherapy Llc
TypeFacility
SpecialityClinic/center - Physical Therapy
Location6501 Harris Pkwy, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386132132
  • Provider Enumeration Date: 04/27/2018
  • Last Update Date: 11/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749536308
  • Enrollment ID: O20190724000246

Medical Identifiers

Medical identifiers for Sportherapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386132132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sportherapy Llc acts as a billing entity for following providers:
Provider NameMichael Connors
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184749665
PECOS PAC ID: 2365498854
Enrollment ID: I20050328001016
Provider NameAmy N Welch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124240528
PECOS PAC ID: 6406947316
Enrollment ID: I20070807000569
Provider NameBryan R Garcia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114238086
PECOS PAC ID: 4981892908
Enrollment ID: I20101217000165
Provider NameS Autrey Duke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861709107
PECOS PAC ID: 8820273840
Enrollment ID: I20110505000809
Provider NameBrandon Michale O Malley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124374921
PECOS PAC ID: 8325296809
Enrollment ID: I20120907000673
Provider NameKathleen E Pollan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194149856
PECOS PAC ID: 3274766068
Enrollment ID: I20140501000998
Provider NameLindsey K Boer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669897237
PECOS PAC ID: 2668695628
Enrollment ID: I20140520000178
Provider NameRichard Ancell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689067282
PECOS PAC ID: 0244557387
Enrollment ID: I20150330000120
Provider NameJansen Yamout
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639557259
PECOS PAC ID: 4688985799
Enrollment ID: I20150616002029
Provider NameAlex Gustaf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225410608
PECOS PAC ID: 3577870120
Enrollment ID: I20150915002765
Provider NameLindsay Levine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780185090
PECOS PAC ID: 9830450840
Enrollment ID: I20180307001138
Provider NameAndrew Sewell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558883694
PECOS PAC ID: 5496189284
Enrollment ID: I20200103000644
Provider NameJordan Nipp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881944387
PECOS PAC ID: 0345674149
Enrollment ID: I20200103001306
Provider NameJohn Nguyen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407331697
PECOS PAC ID: 9133553829
Enrollment ID: I20200106002398
Provider NameJennifer Arend
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548727951
PECOS PAC ID: 9739513425
Enrollment ID: I20200106002594
Provider NameJeremy Corbin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164921904
PECOS PAC ID: 9537593223
Enrollment ID: I20200106002651
Provider NameAmy Clark
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265542740
PECOS PAC ID: 8325472970
Enrollment ID: I20200107002381
Provider NameLacie Pennington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013565530
PECOS PAC ID: 9335573997
Enrollment ID: I20200107002859
Provider NameRyne Chambers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407413123
PECOS PAC ID: 4688008279
Enrollment ID: I20200108000388
Provider NameSydnee Loryn Corbin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144785643
PECOS PAC ID: 4880029495
Enrollment ID: I20200108001535
Provider NameKaylan Leigh Fagley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598250326
PECOS PAC ID: 0648605394
Enrollment ID: I20200127001838
Provider NameDavid Salib
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730727835
PECOS PAC ID: 4587099254
Enrollment ID: I20200128000122
Provider NameSheri Murrell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740390129
PECOS PAC ID: 7810324670
Enrollment ID: I20200218000545
Provider NameVikki L Crisco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396125563
PECOS PAC ID: 1052626462
Enrollment ID: I20200806000277
Provider NameMaddison Chambers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114538675
PECOS PAC ID: 5395163299
Enrollment ID: I20200909001594
Provider NamePreston Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154932606
PECOS PAC ID: 0547688467
Enrollment ID: I20200909002181
Provider NameMadison Taylor Chappell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821600040
PECOS PAC ID: 3375961964
Enrollment ID: I20200914002338
Provider NameWhitni Rae Holcomb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558880534
PECOS PAC ID: 1951711506
Enrollment ID: I20201110001776
Provider NameLouise Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942602982
PECOS PAC ID: 0840601894
Enrollment ID: I20201123001360
Provider NameDavid Zane Holley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538750021
PECOS PAC ID: 4385059724
Enrollment ID: I20210218000045
Provider NameJason Fracchia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295324309
PECOS PAC ID: 7416362421
Enrollment ID: I20210224000740
Provider NameTaylor Maliska
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972195188
PECOS PAC ID: 1951716943
Enrollment ID: I20210225001733
Provider NameSydnie Darden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245824713
PECOS PAC ID: 4688080351
Enrollment ID: I20210303002083
Provider NameJordan Rogers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013500537
PECOS PAC ID: 1759797467
Enrollment ID: I20210304000031
Provider NameKristian Rivera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679180269
PECOS PAC ID: 4587070131
Enrollment ID: I20210308000638
Provider NameRiley Wood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679151872
PECOS PAC ID: 6103235270
Enrollment ID: I20210503001786
Provider NameTaylor Dare
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669047940
PECOS PAC ID: 8820498926
Enrollment ID: I20210610002862
Provider NameRachel Hawthorne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720656432
PECOS PAC ID: 8123429370
Enrollment ID: I20210625001764
Provider NameMaria Rousseva
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861062804
PECOS PAC ID: 2264834324
Enrollment ID: I20210712002771
Provider NameJoshua Sparkman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134790272
PECOS PAC ID: 4385046044
Enrollment ID: I20210719000044
Provider NameKelsey Robers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144997685
PECOS PAC ID: 0244636405
Enrollment ID: I20210914000872
Provider NameLeonardo Cervantes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508520289
PECOS PAC ID: 7719376219
Enrollment ID: I20211122000996
Provider NameStephen Landon Sackett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851046064
PECOS PAC ID: 8022402643
Enrollment ID: I20220224002540
Provider NameMarissa Hunt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285388553
PECOS PAC ID: 0244625234
Enrollment ID: I20220309000922
Provider NameMallory Powell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194476614
PECOS PAC ID: 4789061193
Enrollment ID: I20220524000817
Provider NameKatharine Phillips
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841934395
PECOS PAC ID: 0042697484
Enrollment ID: I20220524002223
Provider NameBayler Andrews
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447998935
PECOS PAC ID: 1850770934
Enrollment ID: I20220621000397
Provider NameSamantha Rather
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942949441
PECOS PAC ID: 0446632129
Enrollment ID: I20220727001861
Provider NameClinton Bruning
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669996252
PECOS PAC ID: 9931582590
Enrollment ID: I20220815000414
Provider NameKelli Crisp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194458141
PECOS PAC ID: 6507249141
Enrollment ID: I20220816000019
Provider NameJerren Domino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225757990
PECOS PAC ID: 7719353598
Enrollment ID: I20221019001516
Provider NameSamuel Vollbrecht
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881204923
PECOS PAC ID: 1759708290
Enrollment ID: I20221205000997
Provider NameJoshua Benton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821794371
PECOS PAC ID: 1355713330
Enrollment ID: I20230221002613
Provider NameCaitlynn Perry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023715729
PECOS PAC ID: 5698149482
Enrollment ID: I20230317001012
Provider NameChristian Koester
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225727902
PECOS PAC ID: 1456718949
Enrollment ID: I20230526000654
Provider NameMadison P Lewis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952092488
PECOS PAC ID: 7719345941
Enrollment ID: I20230621001457
Provider NameSara Nicole Matschek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104356617
PECOS PAC ID: 2264893866
Enrollment ID: I20230728003160
Provider NameChristina Thompson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003599085
PECOS PAC ID: 3072977800
Enrollment ID: I20230913001167
Provider NameJacob Tyler Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407539976
PECOS PAC ID: 2567826274
Enrollment ID: I20230914000412
Provider NameSuzanna Joy Aguillon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275213928
PECOS PAC ID: 7618331133
Enrollment ID: I20230915001553
Provider NameTaryn Osborne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518649748
PECOS PAC ID: 3476917741
Enrollment ID: I20230920000024
Provider NameBrooke Choudhury
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184407835
PECOS PAC ID: 9335594704
Enrollment ID: I20231005001003
Provider NameSteven Tasson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710434154
PECOS PAC ID: 2264824028
Enrollment ID: I20231021000110
Provider NameKaycee Binder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588433676
PECOS PAC ID: 2163874157
Enrollment ID: I20240115001951
Provider NameDiamond Quinn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275398737
PECOS PAC ID: 0648615971
Enrollment ID: I20240227001358
Provider NameZachary Wight
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902661333
PECOS PAC ID: 3274979224
Enrollment ID: I20240312003648
Provider NameAlondra Gonzalez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427814805
PECOS PAC ID: 8426494345
Enrollment ID: I20240313002168
Provider NameJared May
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760240188
PECOS PAC ID: 4183061351
Enrollment ID: I20240322003469
Provider NameAustin M Bass
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972351278
PECOS PAC ID: 0749622629
Enrollment ID: I20240523001102
Provider NameHunter Grae Summers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134968902
PECOS PAC ID: 6305382284
Enrollment ID: I20240726004012
Provider NameKristine Erin Vital
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740011790
PECOS PAC ID: 9830639806
Enrollment ID: I20240905003298
Provider NameDonovan Ward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083445951
PECOS PAC ID: 1557801859
Enrollment ID: I20240913000799
Provider NameMelissa Zion
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811729783
PECOS PAC ID: 3173054772
Enrollment ID: I20241007004141
Provider NameLauren Elizabeth Terry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073029963
PECOS PAC ID: 9032547211
Enrollment ID: I20241011000222
Provider NameKenedy Thaman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457184426
PECOS PAC ID: 0547792541
Enrollment ID: I20241015004508
Provider NameWarren Kit Cabida Arjona
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508627001
PECOS PAC ID: 6002340882
Enrollment ID: I20241115002579
Provider NameJohn George Nixon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699571711
PECOS PAC ID: 8820519044
Enrollment ID: I20250304003522

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sportherapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sportherapy Llc
6501 Harris Pkwy,
Fort Worth, TX 76132-6102

Ph: (817) 370-9891		Sportherapy Llc
6501 Harris Pkwy,
Fort Worth, TX 76132-6102

Ph: (817) 370-9891

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.