Provider Demographics
NPI:1790475770
Name:903 PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:903 PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BARTUSH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:940-768-9212
Mailing Address - Street 1:809 N UNION ST STE C
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-1026
Mailing Address - Country:US
Mailing Address - Phone:903-564-4300
Mailing Address - Fax:
Practice Address - Street 1:809 N UNION ST STE C
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-1026
Practice Address - Country:US
Practice Address - Phone:903-564-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty