Provider Demographics
NPI:1083788608
Name:AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Entity Type:Organization
Organization Name:AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Other - Org Name:AFFILIATED THERAPIES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR AND OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-443-2400
Mailing Address - Street 1:16040 PARK VALLEY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-3573
Mailing Address - Country:US
Mailing Address - Phone:512-637-1580
Mailing Address - Fax:512-637-1583
Practice Address - Street 1:16040 PARK VALLEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-3573
Practice Address - Country:US
Practice Address - Phone:512-637-1580
Practice Address - Fax:512-637-1583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty