Basic Information
| Provider Information | |||||||||
| NPI: | 1013921444 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PROFESSIONAL THERAPY SERVICES OF TEXAS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 291228 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782291828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106805033 | ||||||||
| FaxNumber: | 2106806094 | ||||||||
| Practice Location | |||||||||
| Address1: | 1901 BABCOCK RD STE 304 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106805033 | ||||||||
| FaxNumber: | 2106806094 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | COX | ||||||||
| AuthorizedOfficialFirstName: | TRAVIS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRES | ||||||||
| AuthorizedOfficialTelephone: | 2106805033 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1043974 | TX | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 1167406 | TX | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 1021731 | TX | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.