=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043635527
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST CARE PHYSICAL THERAPY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2014
-----------------------------------------------------
Last Update Date | 11/15/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 421 S 12TH ST
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-4923
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-800-5620
-----------------------------------------------------
Fax | 956-800-5621
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 421 S 12TH ST
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78501-4923
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-800-5620
-----------------------------------------------------
Fax | 956-800-5621
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING
-----------------------------------------------------
Name | DENISE C GUZMAN
-----------------------------------------------------
Credential | MOS
-----------------------------------------------------
Telephone | 956-618-1300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0401X
-----------------------------------------------------
Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------