Provider Demographics
NPI:1821279340
Name:ACHIEVE PT, PLLC
Entity Type:Organization
Organization Name:ACHIEVE PT, PLLC
Other - Org Name:ACHIEVE MANUAL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:CONNORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-563-5360
Mailing Address - Street 1:1310 RR 620 S
Mailing Address - Street 2:STE B-10
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6300
Mailing Address - Country:US
Mailing Address - Phone:512-263-1795
Mailing Address - Fax:
Practice Address - Street 1:1310 RR 620 S STE B10
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6343
Practice Address - Country:US
Practice Address - Phone:512-263-1795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty