Provider Demographics
NPI:1992315113
Name:VISTA REHAB PARTNERS, LP
Entity type:Organization
Organization Name:VISTA REHAB PARTNERS, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ENROLLMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLESZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-486-3115
Mailing Address - Street 1:5100 ELDORADO PKWY # 102-20WR
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:972-486-3115
Mailing Address - Fax:469-676-4899
Practice Address - Street 1:10233 E NORTHWEST HWY STE 410
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-4430
Practice Address - Country:US
Practice Address - Phone:469-221-9203
Practice Address - Fax:469-676-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
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