Joey Wayne Choate, PTA

Individual provider Active NPI Physical Therapy Assistant · Corsicana, TX

NPI 1104071216 · NPPES record last updated Nov 18, 2008

Key facts

NPI
1104071216
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2059796 (TX)
Practice address
3301 W Park Row Blvd
Corsicana, TX 75110-4846
Phone
(903) 874-5238
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2059796TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2059796 TX Yes

Addresses

Primary practice location

3301 W Park Row Blvd
Corsicana, TX 75110-4846

Mailing address

3800 N 23Rd St
Waco, TX 76708-1649
Phone (254) 855-8144

Other providers in Corsicana, TX

All providers in Corsicana, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.