Tillman Physical Therapy & Sports Training Center, Inc
LBN: Tillman Physical Therapy & Sports Training Center, Inc
Tillman Physical Therapy & Sports Training Center, Inc is an health care organization with primary practice located at 2519 S Lakeline Blvd Suite 100, Cedar Park TX 78613-2964. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Tillman Physical Therapy & Sports Training Center, Inc can be contacted via phone (512) 331-6200, or through Tillman, Michael Ray via phone (512) 331-6200.
Contact Information
Primary practice address
2519 S Lakeline Blvd Suite 100
Cedar Park TX 78613-2964
Phone: (512) 331-6200
Fax: (512) 331-4312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 554280000 | Texas |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 644350000 | Texas |
Profile Details
| NPI number | 1376579797 |
|---|---|
| LBN Legal business name | Tillman Physical Therapy & Sports Training Center, Inc |
| DBA Doing business as | Tillman Physical Therapy & Sports Training Center, Inc |
| Authorized official | Tillman, Michael Ray MPT, CSCS, CERT. MDT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Mar 17th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376579797 | NPPES |
| Texas | MEDICAID | 153870401 |
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