Provider Demographics
NPI:1932727534
Name:PCPT, PLLC
Entity Type:Organization
Organization Name:PCPT, PLLC
Other - Org Name:PAIGE COOPER PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:940-448-0240
Mailing Address - Street 1:2927 SHAMROCK AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-1314
Mailing Address - Country:US
Mailing Address - Phone:940-448-0240
Mailing Address - Fax:
Practice Address - Street 1:2927 SHAMROCK AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-1314
Practice Address - Country:US
Practice Address - Phone:940-448-0240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty