Healthcare Provider Details

I. General information

NPI: 1689995052
Provider Name (Legal Business Name): RMG PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2010
Last Update Date: 12/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 E 6TH ST APT 4
AUSTIN TX
78702-3374
US

IV. Provider business mailing address

1305 E 6TH ST APT 4
AUSTIN TX
78702-3374
US

V. Phone/Fax

Practice location:
  • Phone: 512-297-2860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number668500000
License Number StateTX

VIII. Authorized Official

Name: RUPAL PATEL
Title or Position: OWNER
Credential: DPT
Phone: 512-297-2860