MEDICARE: TEXAS PHYSICAL THERAPY SPECIALISTS

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

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

General Provider Information

NPI Number	:	1760847834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PHYSICAL THERAPY SPECIALISTS

Provider Business Mailing Address
First Line	:	17325 BELL NORTH DR
Second Line	:	SUITE 2-B
City	:	SCHERTZ
State	:	TX
Zip	:	78154-3368
Country	:	US
Telephone Number	:	888-590-4002
Fax Number	:	210-590-4585

Provider Business Practice Location Address
First Line	:	2902 GOLIAD RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-3958
Country	:	US
Telephone Number	:	888-590-4002
Fax Number	:	210-590-4585

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	SHYLA BURRELL
Credential	:
Telephone Number	:	888-590-4002

Provider Enumeration Date	:	12/16/2015
Last Update Date	:	12/16/2015

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