Provider Demographics
NPI:1053648659
Name:COMPETITIVE TRAINING CENTER PHYSICAL THERAPY
Entity Type:Organization
Organization Name:COMPETITIVE TRAINING CENTER PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:512-436-9819
Mailing Address - Street 1:9185 RESEARCH BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-6900
Mailing Address - Country:US
Mailing Address - Phone:512-436-9819
Mailing Address - Fax:512-436-8017
Practice Address - Street 1:9185 RESEARCH BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-6900
Practice Address - Country:US
Practice Address - Phone:512-436-9819
Practice Address - Fax:512-436-8017
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPETITIVE TRAINING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1184060261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy