Provider Demographics
NPI:1669699492
Name:MAKE TODAY COUNT INC
Entity type:Organization
Organization Name:MAKE TODAY COUNT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:H
Authorized Official - Last Name:PANGBORN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:830-693-0145
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-0476
Mailing Address - Country:US
Mailing Address - Phone:830-693-0145
Mailing Address - Fax:830-693-4097
Practice Address - Street 1:2312 N HWY 281
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4360
Practice Address - Country:US
Practice Address - Phone:830-693-0145
Practice Address - Fax:830-693-4097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1084135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0004PBOtherBCBS TX
TX00X415Medicare PIN