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NPI Code Detail

MEDICARE: AMPT, LLC

MEDICARE: AMPT, 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
12251N0400XNeurology Physical Therapist1168625TX

General Provider Information

NPI Number : 1619351228
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMPT, LLC
Provider Business Mailing Address
First Line : 2020 NORTH LOOP W
Second Line : SUITE 135
City : HOUSTON
State : TX
Zip : 77018-8105
Country : US
Telephone Number : 281-816-7891
Fax Number : 281-674-8276
Provider Business Practice Location Address
First Line : 2020 NORTH LOOP W STE 135
Second Line :
City : HOUSTON
State : TX
Zip : 77018-8142
Country : US
Telephone Number : 281-816-7891
Fax Number : 281-674-8276
Authorized Official
Title or Position : CHIEF CLINICAL OFFICER
Name : CHAD A ELMS
Credential : PT, DPT
Telephone Number : 281-816-7891
Provider Enumeration Date : 07/13/2015
Last Update Date : 12/12/2023

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Directions to “AMPT, LLC ” Practice Location

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