MEDICARE: RAVEN VANTRYCE FITZPATRICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant		TX

General Provider Information

NPI Number	:	1760282008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAVEN VANTRYCE FITZPATRICK

Provider Business Mailing Address
First Line	:	6410 RIVERTRAIL CIR APT 112
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-1146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6777 CAMP BOWIE BLVD STE 650
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-7155
Country	:	US
Telephone Number	:	817-810-0660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

Similar Medicare Providers

1497939318 — DR. THOMAS KEVIN BURDENSKI JR. LIC. PSYCHOLOGIST
Practice Location Address:

6777 CAMP BOWIE BLVD , SUITE 338
FORT WORTH, TX
76116-7155

Practice Phone: 817-390-0453
Practice Fax: 817-732-7339

1952614067 — AGELESS LIVING HOME HEALTH LLC
Practice Location Address:

6777 CAMP BOWIE BLVD STE 650A
FORT WORTH, TX
76116-7155

Practice Phone: 817-810-0660
Practice Fax: 903-532-1401

1205518784 — GRACE NWANNE IGBUDU
Practice Location Address:

6777 CAMP BOWIE BLVD
FORT WORTH, TX
76116-7155

Practice Phone: 817-670-4464
Practice Fax:

1326573940 — DR. SAHIBA SINGH DPM
Practice Location Address:

6846 INTERNATIONAL CENTER BLVD STE B
FORT MYERS, FL
33912-7155

Practice Phone: 239-430-3668
Practice Fax:

1396366985 — TRITEL CONCIERGE MEDICINE LLC
Practice Location Address:

6846 INTERNATIONAL CENTER BLVD STE A
FORT MYERS, FL
33912-7155

Practice Phone: 239-244-9670
Practice Fax: 239-244-9670

1417828401 — FAMILY FOOT AND LEG CENTER PA
Practice Location Address:

6846 INTERNATIONAL CENTER BLVD # B
FORT MYERS, FL
33912-7155

Practice Phone: 239-430-3668
Practice Fax: 239-692-9436

Directions to “ RAVEN VANTRYCE FITZPATRICK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.