Provider Demographics
NPI:1609595883
Name:FYZIO GROUP LLC
Entity Type:Organization
Organization Name:FYZIO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUTZIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-369-0106
Mailing Address - Street 1:1400 N COIT RD STE 605
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6658
Mailing Address - Country:US
Mailing Address - Phone:708-369-0106
Mailing Address - Fax:214-257-0242
Practice Address - Street 1:1400 N COIT RD STE 605
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6658
Practice Address - Country:US
Practice Address - Phone:214-257-8740
Practice Address - Fax:214-257-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty