Provider Demographics
NPI:1285688440
Name:PHYSICAL THERAPY CLINIC OF PARIS, LP
Entity Type:Organization
Organization Name:PHYSICAL THERAPY CLINIC OF PARIS, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-427-1545
Mailing Address - Street 1:3270 LAMAR AVE # 105
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5022
Mailing Address - Country:US
Mailing Address - Phone:903-785-3861
Mailing Address - Fax:903-739-8768
Practice Address - Street 1:3270 LAMAR AVE # 105
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5022
Practice Address - Country:US
Practice Address - Phone:903-785-3861
Practice Address - Fax:903-739-8768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021665701Medicaid
TX456631Medicare Oscar/Certification