Ideal Physical Therapy of Texas LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Dallas, TX

NPI 1093349342 · NPPES record last updated Feb 26, 2020

Key facts

NPI
1093349342
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
IDEAL PHYSICAL THERAPY OF TEXAS LLC
Practice address
12222 Coit Rd Ste 200
Dallas, TX 75251-2302
Phone
(972) 979-6577
NPI assigned
Feb 26, 2020
Organization subpart
No

Authorized official

Name
Matt Kirk
Title
Director
Phone
(708) 710-9931

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

12222 Coit Rd Ste 200
Dallas, TX 75251-2302

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other providers in Dallas, TX

All providers in Dallas, TX · Durable Medical Equipment & Medical Supplies in Texas

Sources for this page

Verify at the official NPI Registry.