Provider Demographics
NPI:1083710040
Name:AMARILLO PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:AMARILLO PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:KEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT MA
Authorized Official - Phone:806-358-6847
Mailing Address - Street 1:3420 THORNTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3928
Mailing Address - Country:US
Mailing Address - Phone:806-358-6847
Mailing Address - Fax:806-358-1782
Practice Address - Street 1:3420 THORNTON DRIVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3928
Practice Address - Country:US
Practice Address - Phone:806-358-6847
Practice Address - Fax:806-358-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000073208100000X
TX1000875208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX650277Medicare ID - Type Unspecified