Healthcare Provider Details

I. General information

NPI: 1366637324
Provider Name (Legal Business Name): PATRICK DANIEL CARNATHAN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CROWN POINTE BLVD
WILLOW PARK TX
76087-1191
US

IV. Provider business mailing address

101 CROWN POINTE BLVD PHYSICAL THERAPY
WILLOW PARK TX
76087-1191
US

V. Phone/Fax

Practice location:
  • Phone: 817-757-1580
  • Fax: 817-757-1590
Mailing address:
  • Phone: 817-757-1580
  • Fax: 817-757-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1189811
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: