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NPI 1730199613

NPI 1730199613 : AFFILIATED THERAPY GROUP PRACTICE, INC : CORPUS CHRISTI, TX

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General NPI Number Information
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    NPI Number           |    1730199613
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFILIATED THERAPY GROUP PRACTICE, INC 
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Dates
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    Enumeration Date     |    08/09/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4738 SOUTH PADRE ISLAND DRIVE 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78411
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    Country              |    US
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    Telephone            |    361-853-6100
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    Fax                  |    361-853-6106
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Provider Business Mailing Address
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    Address Line         |    4738 SOUTH PADRE ISLAND DRIVE 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78411
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    Country              |    US
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    Telephone            |    361-853-6100
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    Fax                  |    361-853-6106
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Authorized Official
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    Title or Position    |    VICE-PRESIDENT/COO
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    Name                 |    DR. LYNN MARIE SCHAUSTER 
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    Credential           |    P.T.
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    Telephone            |    361-853-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1081966
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1116929
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1022416
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    100865
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    License Number State |    TX
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