MEDICARE: PHYSIOTHERAPY ASSOCIATES, INC.

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1477850741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	2300 COIT RD
Second Line	:	SUITE 300
City	:	PLANO
State	:	TX
Zip	:	75075-3768
Country	:	US
Telephone Number	:	469-467-8705
Fax Number	:	267-321-2550

Provider Business Practice Location Address
First Line	:	1305 S 70TH ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-4247
Country	:	US
Telephone Number	:	402-484-7162
Fax Number	:	402-488-4943

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	JAYNE FLECK POOL
Credential	:	PT, ATC
Telephone Number	:	469-467-8705

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	02/22/2011

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