MEDICARE: ATLAS PEDIATRIC THERAPY CONSULTANTS LLC

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093054439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS PEDIATRIC THERAPY CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	2015 E LAMAR BLVD
Second Line	:	SUITE 200
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7349
Country	:	US
Telephone Number	:	817-203-2622
Fax Number	:	817-704-4334

Provider Business Practice Location Address
First Line	:	2015 E LAMAR BLVD
Second Line	:	SUITE 200
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7349
Country	:	US
Telephone Number	:	817-203-2622
Fax Number	:	817-704-4334

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA D ADAMS
Credential	:
Telephone Number	:	817-203-2622

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	07/31/2013

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