Healthcare Provider Details

I. General information

NPI: 1366497570
Provider Name (Legal Business Name): MOUNT PLEASANT PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N CENTER ST
NEW BOSTON TX
75570-2918
US

IV. Provider business mailing address

303 N CENTER ST
NEW BOSTON TX
75570-2918
US

V. Phone/Fax

Practice location:
  • Phone: 903-628-7700
  • Fax: 903-628-7701
Mailing address:
  • Phone: 903-628-7700
  • Fax: 903-628-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1125979
License Number StateTX

VIII. Authorized Official

Name: WADE BATCHELOR
Title or Position: PT/OWNER
Credential: PT/OWNER
Phone: 903-628-7700