MEDICARE: PHYSIOTHERAPY ASSOCIATES INC

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	225XP0200X	Pediatric Occupational Therapist
2	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1598832115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	6263 POPLAR AVE
Second Line	:	STE. 801
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4701
Country	:	US
Telephone Number	:	901-685-7227
Fax Number	:	267-321-2079

Provider Business Practice Location Address
First Line	:	3530 E FLAMINGO RD
Second Line	:	#103
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5069
Country	:	US
Telephone Number	:	702-737-0304
Fax Number	:	702-733-9895

Authorized Official
Title or Position	:	CFO
Name	:	DENNIS FITZPATRICK
Credential	:
Telephone Number	:	610-644-7824

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	12/05/2008

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Directions to “PHYSIOTHERAPY ASSOCIATES INC ” Practice Location

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