MEDICARE: FORTE REHABILITATION AND WELLNESS CENTER, INC

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		TX

General Provider Information

NPI Number	:	1225129323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTE REHABILITATION AND WELLNESS CENTER, INC

Provider Business Mailing Address
First Line	:	1901 BABCOCK RD
Second Line	:	SUITE 204
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4554
Country	:	US
Telephone Number	:	210-342-5300
Fax Number	:	210-342-5325

Provider Business Practice Location Address
First Line	:	1901 BABCOCK RD
Second Line	:	SUITE 204
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4554
Country	:	US
Telephone Number	:	210-342-5300
Fax Number	:	210-342-5325

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RACHEL ANN LARSEN
Credential	:	PT
Telephone Number	:	210-342-4500

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/22/2020

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