SPORTHERAPY SOUTHWEST, PC
NPI 1801812698
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Fort Worth, TX

Q: What is Sportherapy Southwest, PC's NPI number?

The NPI number for Sportherapy Southwest, PC is 1801812698. It was assigned to this organization in the NPPES registry on July 14, 2006.

Q: What is Sportherapy Southwest, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Active since July 14, 2006

6037 HARRIS PKWY, FORT WORTH, TX 76132(817) 370-9891(817) 370-9894 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sportherapy Southwest, Pc NPPES

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

SPORTHERAPY SOUTHWEST, PC (NPI 1801812698) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Fort Worth, Texas and active in the NPI registry since July 2006. The organization lists Steven B Lackey, Business Director, as its authorized official.

NPPES Registry Identity

NPI1801812698

Entity TypeOrganization

Primary Taxonomy261QR0401X

Legal Business NameSPORTHERAPY SOUTHWEST, PC

Location Address6037 HARRIS PKWYFort Worth, TX 76132-4103

Mailing Address6037 Harris PkwyFort Worth, TX 76132-4103 · (817) 370-9891 · Fax (817) 370-9894

Phone(817) 370-9891

Fax(817) 370-9894

Organization SubpartNo

Authorized OfficialSteven B LackeyBusiness Director · (817) 370-9891

Enumeration DateJuly 14, 2006

Last NPPES UpdateMay 20, 2014

✔ NPI 1801812698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities

Taxonomy Code261QR0401X

License✔ Licensed in TX · 605100000

Also ListedPhysical TherapistTaxonomy 225100000X · License 605100000 (TX)

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License 605100000 (TX)

6037 HARRIS PKWY, Fort Worth, TX 76132

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Other Identifiers 1

Medicare ID-Type Unspecified45-6752TX · Medicare Facility

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Other Providers at the Same Location NPPES 16

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

DR. KEIRA RENEE WEST OD

Optometrist