Provider Demographics
NPI:1245805654
Name:PERFORMANCE AND RECOVERY PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PERFORMANCE AND RECOVERY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:REETZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT, NCS
Authorized Official - Phone:562-896-7250
Mailing Address - Street 1:1719 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5542
Mailing Address - Country:US
Mailing Address - Phone:562-896-7250
Mailing Address - Fax:
Practice Address - Street 1:1719 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-5542
Practice Address - Country:US
Practice Address - Phone:562-896-7250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty