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General NPI Number Information
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NPI Number | 1144109489
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Entity Type | Organization
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Legal Business Name | A1 PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 16333 S GREAT OAKS DR, STE 122
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City | ROUND ROCK
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State | TX
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Zip | 78681
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Country | US
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Telephone | 646-500-0538
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 NOLINA LN
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City | ROUND ROCK
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State | TX
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Zip | 78681-2457
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Country | US
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Telephone | 646-500-0538
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Fax |
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | JIHWAN LEE
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Credential | DPT
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Telephone | 646-500-0538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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