MEDICARE: TERESA A ATKINSON PT

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	1034825	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00204764	OTHER		RR MEDICARE PROVIDER #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8T3655	OTHER	TX	BCBS PROVIDER NUMBER
3	603603400	OTHER		OWCP PROVIDER NUMBER

General Provider Information

NPI Number	:	1538151618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA A ATKINSON PT

Provider Business Mailing Address
First Line	:	6300 WEST LOOP S
Second Line	:	SUITE 118
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2900
Country	:	US
Telephone Number	:	713-661-2900
Fax Number	:	713-661-2999

Provider Business Practice Location Address
First Line	:	6300 WEST LOOP S
Second Line	:	SUITE 118
City	:	BELLAIRE
State	:	TX
Zip	:	77401-2900
Country	:	US
Telephone Number	:	713-661-2900
Fax Number	:	713-661-2999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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Directions to “ TERESA A ATKINSON PT” Practice Location

Language	Start Address	Practice Location

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