Provider Demographics
NPI:1073278974
Name:THERAPY ASSOCIATES OF TEXAS, LP
Entity Type:Organization
Organization Name:THERAPY ASSOCIATES OF TEXAS, LP
Other - Org Name:THERAPY ASSOCIATES OF TEXAS DENTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-565-1008
Mailing Address - Street 1:550 BAILEY AVE STE 750
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2175
Mailing Address - Country:US
Mailing Address - Phone:817-402-0269
Mailing Address - Fax:817-402-0336
Practice Address - Street 1:2745 WIND RIVER LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-2999
Practice Address - Country:US
Practice Address - Phone:940-382-2649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty