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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1710916937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	3820 AMERICAN DR
Second Line	:	SUITE 340
City	:	PLANO
State	:	TX
Zip	:	75075-6101
Country	:	US
Telephone Number	:	469-467-8705
Fax Number	:	267-321-2550

Provider Business Practice Location Address
First Line	:	3549 W MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-7015
Country	:	US
Telephone Number	:	405-749-7950
Fax Number	:	405-749-7940

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	CYNTHIA L. GOLDBERG
Credential	:
Telephone Number	:	610-644-7824

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	09/11/2014

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Directions to “PHYSIOTHERAPY ASSOCIATES INC ” Practice Location

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