MEDICARE: CONCENTRA HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QX0100X	Occupational Medicine Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1316988041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCENTRA HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200W
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	972-364-8000
Fax Number	:	214-775-4502

Provider Business Practice Location Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 WEST TOWER
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	972-364-8106
Fax Number	:	214-775-4502

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	MR. KEITH NEWTON
Credential	:
Telephone Number	:	972-364-8106

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	02/02/2016

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Directions to “CONCENTRA HEALTH SERVICES, INC. ” Practice Location

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