Provider Demographics
NPI:1346740305
Name:R3PT PLLC
Entity Type:Organization
Organization Name:R3PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT, OCS, COMT
Authorized Official - Phone:972-965-0840
Mailing Address - Street 1:9333 FERNDALE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2732
Mailing Address - Country:US
Mailing Address - Phone:972-965-0840
Mailing Address - Fax:972-739-9117
Practice Address - Street 1:9333 FERNDALE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2732
Practice Address - Country:US
Practice Address - Phone:972-965-0840
Practice Address - Fax:972-739-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty