Healthcare Provider Details
I. General information
NPI: 1588171342
Provider Name (Legal Business Name): RATNER CENTER FOR PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2018
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5500 OVERTON RIDGE BLVD STE 228
FORT WORTH TX
76132
US
IV. Provider business mailing address
3713 ARROYO RD
FORT WORTH TX
76109-3410
US
V. Phone/Fax
- Phone: 817-259-1255
- Fax: 817-764-9008
- Phone: 817-846-8472
- Fax: 817-764-9008
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251E1200X |
| Taxonomy | Ergonomics Physical Therapist |
| License Number | 1130789 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | 1130789 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251N0400X |
| Taxonomy | Neurology Physical Therapist |
| License Number | 1130789 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | 1130789 |
| License Number State | TX |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 1130789 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
JENNIFER
ROSENFIELD
RATNER
Title or Position: MANAGING MEMBER
Credential: PT, DPT, MS, OCS
Phone: 817-846-8472