MEDICARE: PIONEER PHYSICAL THERAPY LTD PTR

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

General Provider Information

NPI Number	:	1134171291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIONEER PHYSICAL THERAPY LTD PTR

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	:	4107 PIONEER WOODS DR
Second Line	:	SUITE 106
City	:	LINCOLN
State	:	NE
Zip	:	68506-7549
Country	:	US
Telephone Number	:	402-488-5122
Fax Number	:	402-488-5166

Authorized Official
Title or Position	:	VP,AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:	JD
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/19/2015

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