MEDICARE: MOMENTUM PHYSICAL & SPORTS REHABILITATION 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1295106565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOMENTUM PHYSICAL & SPORTS REHABILITATION LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	12952 BANDERA RD STE 107
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4733
Country	:	US
Telephone Number	:	210-372-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 NORTERRA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-8204
Country	:	US
Telephone Number	:	623-715-7055
Fax Number	:

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

Provider Enumeration Date	:	10/13/2015
Last Update Date	:	03/30/2023

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