MEDICARE: MISSION REHABILITATION AND SPORTS MEDICINE 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	:	1508004995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSION REHABILITATION AND SPORTS MEDICINE LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	PO BOX 1308
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-1308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 BABCOCK RD
Second Line	:	SUITE 130
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4424
Country	:	US
Telephone Number	:	210-614-7953
Fax Number	:	210-614-4190

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

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	08/26/2021

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