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General NPI Number Information
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NPI Number | 1255207213
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Entity Type | Organization
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Legal Business Name | MONTGOMERY PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 20873 EVA ST STE C
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City | MONTGOMERY
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State | TX
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Zip | 77356-1975
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Country | US
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Telephone | 936-597-5323
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Fax | 936-597-8914
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Provider Business Mailing Address
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Address Line | 20873 EVA ST STE C
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City | MONTGOMERY
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State | TX
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Zip | 77356-1975
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Country | US
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Telephone | 936-597-5323
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Fax | 936-597-8914
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | ALAN THORELL
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Credential | PT,MS,CSCS
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Telephone | 936-597-5323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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