MEDICARE: SUMMIT PEAK PHYSICAL THERAPY PC

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	660120001	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00Y947	OTHER	TX	MEDICARE PTAN

General Provider Information

NPI Number	:	1811038029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT PEAK PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	166 RANCHWAY DR
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7864
Country	:	US
Telephone Number	:	817-426-5439
Fax Number	:	972-606-1637

Provider Business Practice Location Address
First Line	:	2461 ROBINSON RD
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3852
Country	:	US
Telephone Number	:	972-606-4858
Fax Number	:	972-606-1637

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASON PAUL MOSES
Credential	:	PT, DPT
Telephone Number	:	817-705-8558

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	12/31/2008

Similar Medicare Providers

1124036884 — DONALD CRAIG WHITCOMB M.D.
Practice Location Address:

2461 ROBINSON RD
GRAND PRAIRIE, TX
75051-3852

Practice Phone: 972-606-1334
Practice Fax: 972-606-1637

1730391798 — DR. JASON PAUL MOSES PT, DPT
Practice Location Address:

2461 ROBINSON RD
GRAND PRAIRIE, TX
75051-3852

Practice Phone: 972-606-4858
Practice Fax: 972-606-1637

1174759427 — NORBERTO J C MONTANI & ASSOCIATES
Practice Location Address:

2455 ROBINSON RD , 100
GRAND PRAIRIE, TX
75051-3852

Practice Phone: 972-264-4221
Practice Fax: 972-266-9063

1609180645 — JACQUELINE EUDORA DEYOUNGE-GERIDEAU PA-C
Practice Location Address:

2455 ROBINSON RD , SUITE 200
GRAND PRAIRIE, TX
75051-3852

Practice Phone: 972-522-5665
Practice Fax: 972-522-5605

1588911705 — KET MELVIN-HARRIS DNP, FNP-C, PMHNP-BC
Practice Location Address:

2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX
75051-3852

Practice Phone: 469-626-8195
Practice Fax: 469-857-8492

1679021042 — KETURAH HEALTH, LLC
Practice Location Address:

2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX
75051-3852

Practice Phone: 469-626-8195
Practice Fax: 469-857-8492

Directions to “SUMMIT PEAK PHYSICAL THERAPY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.