Provider Demographics
NPI:1891734281
Name:FREDERICKSBURG PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:FREDERICKSBURG PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP,AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1425 E MAIN ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-5335
Mailing Address - Country:US
Mailing Address - Phone:830-391-8009
Mailing Address - Fax:830-990-9088
Practice Address - Street 1:1425 E MAIN ST
Practice Address - Street 2:SUITE 600
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-5335
Practice Address - Country:US
Practice Address - Phone:830-391-8009
Practice Address - Fax:830-990-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676634Medicare Oscar/Certification
TX6346170001Medicare NSC