Provider Demographics
NPI:1790343077
Name:FYZICAL THERAPY AND BALANCE CENTERS- PLANO LLC
Entity Type:Organization
Organization Name:FYZICAL THERAPY AND BALANCE CENTERS- PLANO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANDITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:312-799-9949
Mailing Address - Street 1:9236 OLD VERANDA RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7082
Mailing Address - Country:US
Mailing Address - Phone:972-808-6338
Mailing Address - Fax:
Practice Address - Street 1:5804 COIT RD STE 108
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5957
Practice Address - Country:US
Practice Address - Phone:312-799-9949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty