Provider Demographics
NPI:1568601847
Name:KINGWOOD PHYSICAL THERAPY LTD
Entity Type:Organization
Organization Name:KINGWOOD PHYSICAL THERAPY LTD
Other - Org Name:SPRING-KLEIN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:21301 KUYKENDAHL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2611
Mailing Address - Country:US
Mailing Address - Phone:281-379-2102
Mailing Address - Fax:381-379-1760
Practice Address - Street 1:21301 KUYKENDAHL RD
Practice Address - Street 2:SUITE B
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2611
Practice Address - Country:US
Practice Address - Phone:281-379-2102
Practice Address - Fax:381-379-1760
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINGWOOD PHYSICAL THERAPY LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-11
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4841150002Medicare NSC