MEDICARE: VIRGINIA KATHLEEN FINCHER P.T.

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	225100000X	Physical Therapist	1014991	TX
2	2251P0200X	Pediatric Physical Therapist	1014991	TX

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
2	658061	OTHER	TX	BCBS
3	85063T	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1528189024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA KATHLEEN FINCHER P.T.

Provider Business Mailing Address
First Line	:	1524 MIMS ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-3456
Country	:	US
Telephone Number	:	817-614-1699
Fax Number	:	866-574-1033

Provider Business Practice Location Address
First Line	:	2300 GRAVEL DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-6950
Country	:	US
Telephone Number	:	817-589-7033
Fax Number	:	817-595-1178

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	09/11/2025

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