P Praxis·MD
● Active Type 1 · Individual

Alex Kenneth Gottleaber, ATP

Technician, Other·Fort Worth, TX· NPI 1003581455 · Enumerated 2021 · 4 years on NPI
Gottleaber is 1 of 30 technician, other providers in Fort Worth and 1 of 804 in Texas.
NPI age
4 years
Enumerated 2021-08-09
Primary specialty
Technician, Other
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-11-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 804 active technician, other providers in Texas.

NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 9% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-08Enumerated in NPPES
2021 2026

Where they practice

Practice location
1101 W Vickery Blvd
Fort Worth, TX 761041025
📞 6828856294fax 6828851135
Mailing address
Po Box 99283
Fort Worth, TX 761991383
📞 6828856294fax 6828851135

Specialties

  • Technician, Other Primary
    A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed...
    TX license #91528 taxonomy 247200000X
  • Rehabilitation Counselor
    Definition to come...
    TX license #91528 taxonomy 225CA2400X

Practice context

Part of a multi-provider practice. 78 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new technician, other provider has been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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