IndividualActive
Alex Gottleaber, ATP
NPI 1003581455 · Other Technician · Fort Worth, TX
Provider details
- NPI number
- 1003581455
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- ATP
- Sex
- Male
- Sole proprietor
- No
- License
- 91528 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1101 W Vickery Blvd
Fort Worth, TX 76104-1025
Phone: (682) 885-6294
Fax: (682) 885-1135
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 99283
Fort Worth, TX 76199-1383
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2021-11-24
- Certified
- 2021-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.