MEDICARE: ICARE REHAB SERVICES

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
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1093591372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICARE REHAB SERVICES

Provider Business Mailing Address
First Line	:	1723 HAZEL HEIGHTS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5007
Country	:	US
Telephone Number	:	346-529-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1723 HAZEL HEIGHTS RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5007
Country	:	US
Telephone Number	:	346-529-1000
Fax Number	:	346-900-8900

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHAILESH MULANI
Credential	:	PT
Telephone Number	:	346-529-1000

Provider Enumeration Date	:	09/04/2023
Last Update Date	:	09/04/2023

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Directions to “ICARE REHAB SERVICES ” Practice Location

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