MEDICARE: SHAMROCK PHYSICAL THERAPY

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
2	225X00000X	Occupational Therapist		TX

General Provider Information

NPI Number	:	1083748602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAMROCK PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2305 SAN FELIPE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-3401
Country	:	US
Telephone Number	:	713-790-1221
Fax Number	:	713-520-5493

Provider Business Practice Location Address
First Line	:	9343 NORTH LOOP E
Second Line	:	SUITE 204
City	:	HOUSTON
State	:	TX
Zip	:	77029-1251
Country	:	US
Telephone Number	:	713-674-2545
Fax Number	:	713-674-5706

Authorized Official
Title or Position	:	MANAGER
Name	:	HARLAN KIMBROUGH
Credential	:
Telephone Number	:	713-790-1221

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	09/11/2025

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Directions to “SHAMROCK PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

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