MEDICARE: WHOLEPOINTE REHABILITATION PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1457135733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLEPOINTE REHABILITATION PLLC

Provider Business Mailing Address
First Line	:	6715 LAS COLINAS DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5562
Country	:	US
Telephone Number	:	469-773-0445
Fax Number	:

Provider Business Practice Location Address
First Line	:	6715 LAS COLINAS DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5562
Country	:	US
Telephone Number	:	469-773-0445
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	HENRY EKEOCHA
Credential	:	PT
Telephone Number	:	469-773-0445

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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