Provider Demographics
NPI:1184009474
Name:CPT SPECIALTY GROUP LLC
Entity Type:Organization
Organization Name:CPT SPECIALTY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CECILY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURNYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-923-9000
Mailing Address - Street 1:4750 BRYANT IRVIN RD N
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7641
Mailing Address - Country:US
Mailing Address - Phone:817-923-9000
Mailing Address - Fax:817-923-9033
Practice Address - Street 1:4750 BRYANT IRVIN RD N
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-7641
Practice Address - Country:US
Practice Address - Phone:817-923-9000
Practice Address - Fax:817-923-9033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty