SOURCE ONE PHYSICAL THERAPY


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1356746978
Entity Type: Non-person: entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name: SOURCE ONE PHYSICAL THERAPY
Provider Enumeration Date: 10/24/2014
Last Update Date: 10/24/2014

Business Address:

Provider First Line Business Mailing Address: PO BOX 25006
Provider Business Mailing Address City Name: FORT WORTH
Provider Business Mailing Address State Name: TX
Provider Business Mailing Address Postal Code: 76124
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 4696580100
Fax Number: 4696580101

Mailing Address:

Provider First Line Business Practice Location Address: 8080 INDEPENDENCE PKWY
Provider Second Line Business Practice Location Address: SUITE 110
Provider Business Practice Location Address City Name: PLANO
Provider Business Practice Location Address State Name: TX
Provider Business Practice Location Address Postal Code: 75025
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 4696580100
Fax Number: 4696580101

Primary Taxonomy:

Taxonomy Code: 225100000X
License Number:
License State:
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Respiratory
Classification: Developmental
Specialization: Rehabilitative and Restorative Service Providers
Definition: Physical Therapist
Source: The National Provider Identifier

Related NPI Codes

NPI Code Provider