MEDICARE: STRONG ROOTS PHYSICAL THERAPY, PLLC

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

General Provider Information

NPI Number	:	1538018080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRONG ROOTS PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	4070 SWEETWATER DR
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-9644
Country	:	US
Telephone Number	:	281-630-4491
Fax Number	:

Provider Business Practice Location Address
First Line	:	4070 SWEETWATER DR
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-9644
Country	:	US
Telephone Number	:	281-630-4491
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH WOODS
Credential	:	PT, DPT
Telephone Number	:	281-630-4491

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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