Healthcare Provider Details

I. General information

NPI: 1093753733
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 OAK RIDGE TPKE SUITE C102
OAK RIDGE TN
37830-6957
US

IV. Provider business mailing address

2300 COIT RD STE 300
PLANO TX
75075-3768
US

V. Phone/Fax

Practice location:
  • Phone: 865-483-7790
  • Fax: 865-483-7791
Mailing address:
  • Phone: 469-467-9870
  • Fax: 267-321-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD S. BINSTEIN
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 610-644-7824