Provider Demographics
NPI:1164442752
Name:FPT, INC.
Entity Type:Organization
Organization Name:FPT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPT/ VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:FURR
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:972-784-6533
Mailing Address - Street 1:1022 HWY 78 N
Mailing Address - Street 2:
Mailing Address - City:FARMERSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75442
Mailing Address - Country:US
Mailing Address - Phone:972-784-6533
Mailing Address - Fax:972-782-8415
Practice Address - Street 1:1022 HWY 78 N
Practice Address - Street 2:
Practice Address - City:FARMERSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75442
Practice Address - Country:US
Practice Address - Phone:972-784-6533
Practice Address - Fax:972-782-8415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1065126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0008MROtherBCBS GROUP
TX8T4271OtherBCBS INDIVIDUAL
TX00033ZMedicare ID - Type UnspecifiedGROUP #
TX8T4271OtherBCBS INDIVIDUAL