Provider Demographics
NPI:1356066450
Name:RIO PT, PLLC
Entity type:Organization
Organization Name:RIO PT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:IAGULLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-969-6030
Mailing Address - Street 1:4518 IRVIN SIMMONS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-4249
Mailing Address - Country:US
Mailing Address - Phone:817-969-6030
Mailing Address - Fax:
Practice Address - Street 1:8210 MID CITIES BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-4700
Practice Address - Country:US
Practice Address - Phone:817-969-6031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy