MEDICARE: VISTA 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1457912214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA REHAB PARTNERS, LP

Provider Business Mailing Address
First Line	:	5100 ELDORADO PKWY # 102-20LE
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-6510
Country	:	US
Telephone Number	:	972-347-9460
Fax Number	:	972-347-9422

Provider Business Practice Location Address
First Line	:	26744 EAST UNIVERSITY DR #500
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	76227
Country	:	US
Telephone Number	:	972-347-9460
Fax Number	:

Authorized Official
Title or Position	:	REGIONAL OPERATIONS MANAGER
Name	:	DENISE KOLESZAR
Credential	:
Telephone Number	:	972-486-3115

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	05/05/2022

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Directions to “VISTA REHAB PARTNERS, LP ” Practice Location

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