MEDICARE: HIGH PLAINS PHYSICAL THERAPY LIMITED PARTNERSHIP

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
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1134167547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH PLAINS PHYSICAL THERAPY LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	1300 W SAM HOUSTON PKWY S
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77042-2447
Country	:	US
Telephone Number	:	713-297-7000
Fax Number	:	713-297-7090

Provider Business Practice Location Address
First Line	:	920 UPLAND WAY
Second Line	:
City	:	GREEN RIVER
State	:	WY
Zip	:	82935-6064
Country	:	US
Telephone Number	:	307-875-1847
Fax Number	:	307-875-4269

Authorized Official
Title or Position	:	VP,AUTHORIZED OFFICIAL
Name	:	JANNA P. KING
Credential	:	JD
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	02/10/2009

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