MEDICARE: AGILITAS USA, 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1073335535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGILITAS USA, INC

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4560 W MOCKINGBIRD LN STE 110
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-5205
Country	:	US
Telephone Number	:	214-556-5108
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	LAUREN HILL
Credential	:
Telephone Number	:	972-465-0296

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

Similar Medicare Providers

1265361018 — GABRIELLA NOELLE STUMP
Practice Location Address:

4560 W MOCKINGBIRD LN STE 110
DALLAS, TX
75209-5205

Practice Phone: 214-556-5108
Practice Fax:

1588099576 — MR. CHRISTOPHER SCOTT TAYLOR MA, LPC
Practice Location Address:

2201 WOLF ST SUITE 5205
DALLAS, TX
75201

Practice Phone: 979-574-3717
Practice Fax:

1023507878 — MR. DANIEL MACKENZIE STEGALL
Practice Location Address:

5757 W LOVERS LN STE 109
DALLAS, TX
75209-7115

Practice Phone: 214-227-6775
Practice Fax:

1982409041 — MIKAL SOO ROSS
Practice Location Address:

4420 W LOVERS LN
DALLAS, TX
75209-3130

Practice Phone: 214-373-7546
Practice Fax:

1487783239 — MR. GARY THOMAS SEGUIN LPC, LPCC
Practice Location Address:

7518 MORTON ST
DALLAS, TX
75209-4010

Practice Phone: 214-682-7938
Practice Fax:

1730426917 — MISS HAYLEY BENHAM BANTEAUX LMT
Practice Location Address:

4807 W LOVERS LN STE 309
DALLAS, TX
75209-3137

Practice Phone: 505-385-4042
Practice Fax:

Directions to “AGILITAS USA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.