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Organization
ADVANCED NEUROLOGICAL SERVICES LLC
Active
Organization
ADVANCED NEUROLOGICAL SERVICES LLC
Active
Other names
ADVANCED THERAPY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIE C POWELL OT (ADMINISTRATOR)
(817) 292-2208
Entity
Organization
Contact information
Practice address
2755 ALTAMESA BLVD, FORT WORTH, TX 76133-5803
(817) 292-2208
(817) 292-0572
Mailing address
2755 ALTAMESA BLVD, FORT WORTH, TX 76133-5803
(817) 292-2208
(817) 292-0572
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
TX
225XP0200X
Pediatric Occupational Therapist
—
TX
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37283
GALLAGHER BENEFIT ADMIN
—
01
—
38332
BEECHSTREET HMO
—
01
—
39141
FIRST HEALTH PPO
—
01
—
44054
GEHA-PHCS HMO
—
01
—
48143
GROUP AND PENSION
—
01
—
61101
HUMANA
—
01
—
62308
CIGNA
—
01
—
62413
MAIL HANDLERS BENEFIT PLA
—
01
—
67466
PACIFIC LIFE & ANNUITY
—
01
—
74223
BENEFIT PLANNERS-PHCS HMO
—
01
—
80314
UNICARE
—
01
—
80705
ONE HEALTH PLAN
—
01
—
84146
CHAMP VA
—
01
—
87043
FIRST HEALTH HMO
—
01
—
87265
BENESIGHT-UHC HMO
—
01
—
87726
UNITED HEALTHCARE
—
01
—
95959
PACIFICARE HMO
—
01
—
NTX11
NTHN
—
Enumeration date
07/20/2006
Last updated
09/11/2025
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