Provider Demographics
NPI:1295047728
Name:FT THERAPY LLC
Entity type:Organization
Organization Name:FT THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-463-0267
Mailing Address - Street 1:3133 W ALBERTA RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9402
Mailing Address - Country:US
Mailing Address - Phone:956-630-2305
Mailing Address - Fax:956-630-2704
Practice Address - Street 1:3133 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9402
Practice Address - Country:US
Practice Address - Phone:956-630-2305
Practice Address - Fax:956-630-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX562160000225X00000X
TX669340000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty