Provider Demographics
NPI:1770259293
Name:VISTA REHAB PARTNERS LP
Entity Type:Organization
Organization Name:VISTA REHAB PARTNERS LP
Other - Org Name:VISTA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-804-1712
Mailing Address - Street 1:5100 ELDORADO PKWY # 10220MPT
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6510
Mailing Address - Country:US
Mailing Address - Phone:694-885-8671
Mailing Address - Fax:469-749-7485
Practice Address - Street 1:3059 CHAMPIONS WAY
Practice Address - Street 2:STE 400
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-7545
Practice Address - Country:US
Practice Address - Phone:469-885-8671
Practice Address - Fax:469-749-7485
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISTA REHAB PARTNERS LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-17
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty