Provider Demographics
NPI:1083752448
Name:THERAPEUTIC PARTNERS OF TEXAS PLLC
Entity Type:Organization
Organization Name:THERAPEUTIC PARTNERS OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST AND OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:DEVITTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:972-723-5005
Mailing Address - Street 1:1000 E MAIN ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3337
Mailing Address - Country:US
Mailing Address - Phone:972-723-5005
Mailing Address - Fax:972-723-5008
Practice Address - Street 1:1000 E MAIN ST
Practice Address - Street 2:SUITE 303
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3337
Practice Address - Country:US
Practice Address - Phone:972-723-5005
Practice Address - Fax:972-723-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1062529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D3022Medicare ID - Type Unspecified
TX00389YMedicare ID - Type UnspecifiedGROUP #