Provider Demographics
NPI:1477703288
Name:TERRY M. ROBINSON, LPT, INC.
Entity Type:Organization
Organization Name:TERRY M. ROBINSON, LPT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:MACK
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPT
Authorized Official - Phone:214-368-1508
Mailing Address - Street 1:8226 DOUGLAS AVE STE 732
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5929
Mailing Address - Country:US
Mailing Address - Phone:214-368-1508
Mailing Address - Fax:214-368-8646
Practice Address - Street 1:8226 DOUGLAS AVE
Practice Address - Street 2:STE. 732
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5943
Practice Address - Country:US
Practice Address - Phone:214-368-1508
Practice Address - Fax:214-368-8646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX650017Medicare PIN