MEDICARE: ESMPT, LLC

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	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528606357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESMPT, LLC

Provider Business Mailing Address
First Line	:	7135 NEW SANGER AVE
Second Line	:	STE 502
City	:	WACO
State	:	TX
Zip	:	76712
Country	:	US
Telephone Number	:	254-732-5981
Fax Number	:	254-754-2667

Provider Business Practice Location Address
First Line	:	7135 NEW SANGER AVE
Second Line	:	SUITE 502
City	:	WACO
State	:	TX
Zip	:	76712
Country	:	US
Telephone Number	:	254-325-9817
Fax Number	:	254-754-2667

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. DENISE WISE
Credential	:	PT
Telephone Number	:	254-732-5981

Provider Enumeration Date	:	12/11/2019
Last Update Date	:	12/10/2025

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Directions to “ESMPT, LLC ” Practice Location

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