Provider Demographics
NPI:1649089558
Name:GILEAD REHAB THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:GILEAD REHAB THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MONES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:469-298-2318
Mailing Address - Street 1:7517 DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-3077
Mailing Address - Country:US
Mailing Address - Phone:469-298-2318
Mailing Address - Fax:
Practice Address - Street 1:3326 LAKEVIEW PKWY
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-3365
Practice Address - Country:US
Practice Address - Phone:469-298-2318
Practice Address - Fax:469-304-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty