Provider Demographics
NPI:1952602476
Name:FST, LLC
Entity Type:Organization
Organization Name:FST, LLC
Other - Org Name:FIRST STEPS PEDIATRIC THERAPY SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:DARRYL
Authorized Official - Last Name:GABEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-871-1800
Mailing Address - Street 1:PO BOX 471459
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76147-1376
Mailing Address - Country:US
Mailing Address - Phone:972-871-1800
Mailing Address - Fax:972-871-1802
Practice Address - Street 1:1333 CORPORATE DR STE 330
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2583
Practice Address - Country:US
Practice Address - Phone:972-871-1800
Practice Address - Fax:972-871-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013843251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health