MEDICARE: NORTHWOODS PHYSICAL THERAPY LIMITED PARTNERSHIP

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
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1922119205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWOODS PHYSICAL THERAPY LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	1300 W SAM HOUSTON PKWY S
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77042-2447
Country	:	US
Telephone Number	:	713-297-7000
Fax Number	:	713-297-7090

Provider Business Practice Location Address
First Line	:	5782 US HIGHWAY 31 N
Second Line	:	SUITE A
City	:	WILLIAMSBURG
State	:	MI
Zip	:	49690-9312
Country	:	US
Telephone Number	:	231-938-2425
Fax Number	:	231-938-2453

Authorized Official
Title or Position	:	VP/AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/15/2017

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