MEDICARE: TEXAS PHYSICAL THERAPY SPECIALISTS

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	225100000X	Physical Therapist		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053651935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PHYSICAL THERAPY SPECIALISTS

Provider Business Mailing Address
First Line	:	17325 BELL NORTH DR
Second Line	:	SUITE 2-B
City	:	SCHERTZ
State	:	TX
Zip	:	78154-3368
Country	:	US
Telephone Number	:	888-590-4002
Fax Number	:	210-590-4585

Provider Business Practice Location Address
First Line	:	11909 PRESTON RD
Second Line	:	SUITE 1482
City	:	DALLAS
State	:	TX
Zip	:	75230-2746
Country	:	US
Telephone Number	:	888-590-4002
Fax Number	:	210-590-4585

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	MS. SHYLA BURRELL
Credential	:
Telephone Number	:	888-590-4002

Provider Enumeration Date	:	02/28/2013
Last Update Date	:	07/17/2013

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Directions to “TEXAS PHYSICAL THERAPY SPECIALISTS ” Practice Location

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