MEDICARE: THERAMAX REHAB SERVICES, 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1790145472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAMAX REHAB SERVICES, INC

Provider Business Mailing Address
First Line	:	720 E PARK BLVD STE 106A
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8844
Country	:	US
Telephone Number	:	972-983-3840
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 E PARK BLVD STE 106A
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-8844
Country	:	US
Telephone Number	:	972-983-3840
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MRS. CHAITANYA PULICHINTALA
Credential	:
Telephone Number	:	972-983-3840

Provider Enumeration Date	:	02/24/2016
Last Update Date	:	04/20/2026

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Directions to “THERAMAX REHAB SERVICES, INC ” Practice Location

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