Provider Demographics
NPI:1508632639
Name:PT HOLDINGS OF DENTON LLC
Entity Type:Organization
Organization Name:PT HOLDINGS OF DENTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-214-6449
Mailing Address - Street 1:2745 WIND RIVER LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2999
Mailing Address - Country:US
Mailing Address - Phone:480-565-1008
Mailing Address - Fax:
Practice Address - Street 1:2745 WIND RIVER LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-2999
Practice Address - Country:US
Practice Address - Phone:480-565-1008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty