MEDICARE: ACHIEVE RESULTS PHYSICAL THERAPY & FITNESS

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	674140000	TX

General Provider Information

NPI Number	:	1487995551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVE RESULTS PHYSICAL THERAPY & FITNESS

Provider Business Mailing Address
First Line	:	9906 BOB WHITE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3331 WESTPARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4262
Country	:	US
Telephone Number	:	832-385-4117
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	TODD ROSSI
Credential	:	PT
Telephone Number	:	832-385-4117

Provider Enumeration Date	:	03/13/2013
Last Update Date	:	03/13/2013

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