Provider Demographics
NPI:1073865580
Name:PHYSIOSPORTS THERAPY, PLLC
Entity Type:Organization
Organization Name:PHYSIOSPORTS THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CADENA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-369-6693
Mailing Address - Street 1:931 S MCCOLL RD STE B
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-2936
Mailing Address - Country:US
Mailing Address - Phone:956-329-1100
Mailing Address - Fax:866-332-4835
Practice Address - Street 1:931 S MCCOLL RD STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-2936
Practice Address - Country:US
Practice Address - Phone:956-369-6693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy