MEDICARE: RAYMOND NOFI P.T.

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	1032407	TX

General Provider Information

NPI Number	:	1275647778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND NOFI P.T.

Provider Business Mailing Address
First Line	:	3724 EXECUTIVE CENTER DR
Second Line	:	SUITE G-10
City	:	AUSTIN
State	:	TX
Zip	:	78731-1646
Country	:	US
Telephone Number	:	512-345-5925
Fax Number	:	512-343-7113

Provider Business Practice Location Address
First Line	:	3724 EXECUTIVE CENTER DR
Second Line	:	SUITE G-10
City	:	AUSTIN
State	:	TX
Zip	:	78731-1646
Country	:	US
Telephone Number	:	512-345-5925
Fax Number	:	512-343-7113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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Directions to “ RAYMOND NOFI P.T.” Practice Location

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