Healthcare Provider Details

I. General information

NPI: 1356455489
Provider Name (Legal Business Name): GREEN OAKS PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 FIELDER NORTH PLZ
ARLINGTON TX
76012-2309
US

IV. Provider business mailing address

520 FIELDER NORTH PLZ
ARLINGTON TX
76012-2309
US

V. Phone/Fax

Practice location:
  • Phone: 817-461-4257
  • Fax: 817-461-4865
Mailing address:
  • Phone: 817-461-4257
  • Fax: 817-461-4865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP,AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000