MEDICARE: MOBILITY PT, 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	1158430	TX

General Provider Information

NPI Number	:	1801344981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILITY PT, PLLC

Provider Business Mailing Address
First Line	:	1200 POST OAK BLVD APT 308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3172
Country	:	US
Telephone Number	:	832-526-4577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 POST OAK BLVD APT 308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3172
Country	:	US
Telephone Number	:	832-526-4577
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT ANTHONY HAI
Credential	:	PT, DPT
Telephone Number	:	832-526-4577

Provider Enumeration Date	:	09/16/2016
Last Update Date	:	09/16/2016

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