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General NPI Number Information
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NPI Number | 1366708562
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Entity Type | Organization
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Legal Business Name | CONNECTED 2 THERAPY, PLLC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1100 BRIDGEWOOD DR STE 102
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City | FORT WORTH
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State | TX
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Zip | 76112-0808
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Country | US
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Telephone | 855-339-6978
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Fax | 855-329-6978
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Provider Business Mailing Address
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Address Line | 1100 BRIDGEWOOD DR STE 102
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City | FORT WORTH
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State | TX
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Zip | 76112-0808
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Country | US
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Telephone | 855-339-6978
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Fax | 855-329-6978
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MS. LANDRIE MICHELE JOHANSEN
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Credential | PT, MPT
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Telephone | 855-339-6978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 672130000
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License Number State | TX
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