MEDICARE: GOOD SHEPHERD PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant		TX
2	225100000X	Physical Therapist	1028629	TX

General Provider Information

NPI Number	:	1033206537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SHEPHERD PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	14900 WESTHEIMER ROAD
Second Line	:	SUITE R
City	:	HOUSTON
State	:	TX
Zip	:	77082-1625
Country	:	US
Telephone Number	:	281-497-2899
Fax Number	:	281-497-1516

Provider Business Practice Location Address
First Line	:	14900 WESTHEIMER ROAD
Second Line	:	SUITE R
City	:	HOUSTON
State	:	TX
Zip	:	77082-1625
Country	:	US
Telephone Number	:	281-497-2899
Fax Number	:	281-497-1516

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KAI YUEN CHOI
Credential	:	PT
Telephone Number	:	281-497-2899

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/19/2007

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