MEDICARE: COMBINED MEDICAL REHAB PARTNERS, LP

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	101YP2500X	Professional Counselor	16227	TX
2	208100000X	Physical Medicine & Rehabilitation Physician	K1283	TX
3	225100000X	Physical Therapist	1124584	TX
4	111N00000X	Chiropractor	6215	TX

General Provider Information

NPI Number	:	1205882917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMBINED MEDICAL REHAB PARTNERS, LP

Provider Business Mailing Address
First Line	:	906 E FRONT ST
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75702-8328
Country	:	US
Telephone Number	:	903-593-9999
Fax Number	:	903-526-2679

Provider Business Practice Location Address
First Line	:	906 E FRONT ST
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75702-8328
Country	:	US
Telephone Number	:	903-593-9999
Fax Number	:	903-526-2679

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RON DANIELS
Credential	:
Telephone Number	:	903-234-0999

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/11/2025

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