Provider Demographics
NPI:1588205033
Name:EMPOWER PHYSICAL THERAPY TX LLC
Entity Type:Organization
Organization Name:EMPOWER PHYSICAL THERAPY TX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPAOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:480-653-8191
Mailing Address - Street 1:4050 E COTTON CENTER BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-8862
Mailing Address - Country:US
Mailing Address - Phone:480-653-8200
Mailing Address - Fax:602-296-5622
Practice Address - Street 1:8150 BOULEVARD 26
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7202
Practice Address - Country:US
Practice Address - Phone:817-498-8585
Practice Address - Fax:817-576-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty