Provider Demographics
NPI:1679600415
Name:PHYSICAL THERAPY SYSTEMS, INC.
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-278-7500
Mailing Address - Street 1:123 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-5619
Mailing Address - Country:US
Mailing Address - Phone:830-278-7500
Mailing Address - Fax:830-278-7878
Practice Address - Street 1:123 E MAIN ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-5619
Practice Address - Country:US
Practice Address - Phone:830-278-7500
Practice Address - Fax:830-278-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX642510001261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1456642-01Medicaid
TX1017051OtherPHYSICAL THERAPIST LIC #
TX1017051OtherPHYSICAL THERAPIST LIC #