Provider Demographics
NPI:1619374774
Name:PIERSON PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:PIERSON PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:O
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:469-343-2874
Mailing Address - Street 1:1105 KAUFMAN RD
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2168
Mailing Address - Country:US
Mailing Address - Phone:469-343-2874
Mailing Address - Fax:469-519-0900
Practice Address - Street 1:317 CENTRAL EXPY N
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2631
Practice Address - Country:US
Practice Address - Phone:469-343-2874
Practice Address - Fax:469-519-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty