CONCENTRA MEDICAL CENTERS
NPI 1184978389
Clinic/Center - Occupational Medicine in Fort Worth, TX

Active since November 09, 2012CLIA 45D2010354 · Waiver
4060 SANDSHELL DR, FORT WORTH, TX 76137(817) 306-9777(817) 306-9780 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Concentra Medical Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCENTRA MEDICAL CENTERS (NPI 1184978389) is a healthcare organization registered as an occupational medicine in Fort Worth, Texas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through July 26, 2028 and lists William Tom Fogarty, President, as its authorized official.

NPPES Registry Identity

NPI1184978389
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameONSITE OCCMED PA
Location Address4060 SANDSHELL DRFort Worth, TX 76137-2422
Mailing Address5080 Spectrum Dr, Suite 1200 WestAddison, TX 75001-4648 · (972) 364-8000
Fax(817) 306-9780
Organization SubpartNo
Authorized OfficialWilliam Tom FogartyPresident · (972) 364-8000
Enumeration DateNovember 9, 2012
NPI 1184978389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
4060 SANDSHELL DR, Fort Worth, TX 76137

Other Names 1

Doing Business AsConcentra Medical Centers

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2010354

Concentra Medical Centers - Fort Worth North · Fort Worth, TX
Active · expires Jul 26, 2028
CLIA Number45D2010354
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2026
Certificate Expiration DateJuly 26, 2028
Laboratory DirectorDennis Um
Laboratory Phone(817) 759-0004
Laboratory LocationConcentra Medical Centers - Fort Worth North3645 N Beach Street, Fort Worth, TX 76137
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4060 SANDSHELL DR
FORT WORTH, TX 76137
Physical Therapist
4060 SANDSHELL DR
FORT WORTH, TX 76137
Physical Therapist
4060 SANDSHELL DR
FORT WORTH, TX 76137
Physical Therapist (Orthopedic)
4060 SANDSHELL DR
FORT WORTH, TX 76137
Physical Therapist
4060 SANDSHELL DR
FORT WORTH, TX 76137
Nurse Practitioner (Family)
4060 SANDSHELL DR
FORT WORTH, TX 76137
Family Medicine
4060 SANDSHELL DR, CONCENTRA URGENT CARE
FORT WORTH, TX 76137
Physician Assistant
4060 SANDSHELL DR
FORT WORTH, TX 76137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Onsite Occmed PA's NPI number?

The NPI number for Onsite Occmed PA is 1184978389. It was assigned to this organization in the NPPES registry on November 9, 2012. The provider is doing business as Concentra Medical Centers.

Where is Onsite Occmed PA located?

Onsite Occmed PA is located at 4060 Sandshell Dr, Fort Worth, TX 76137. The listed phone number is (817) 306-9777.

What is Onsite Occmed PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Onsite Occmed PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2010354) is associated with this NPI, valid through July 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Onsite Occmed PA was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.