Kaufman Physical Therapy and Rehabilitation
Organization Active NPI Physical Therapist · Crandall, TX
NPI 1437201308 · NPPES record last updated Apr 1, 2013
Key facts
- NPI
- 1437201308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6056104 (TX)
- Legal business name
- KAUFMAN PHYSICAL THERAPY AND REHABILITATION
- Practice address
- 1008 E US Highway 175
Suite B
Crandall, TX 75114-2545 - Phone
- (972) 932-8599
- Fax
- (972) 932-8571
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Reza Nabavi, P.T.
- Title
- President
- Phone
- (972) 932-8599
Practitioners 3
-
Toby Philip Daniel, PT, DPT
-
Reza Nabavi, P.T.
-
Adrian A Sobrevilla, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041221000691 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6002874138 |
Receives reassigned benefits from 3 practitioners Practice locations: Kaufman, TX |
National Provider Directory
Locations
1008 E US Highway 175
Ste B
Crandall, TX 75114
Phone (903) 880-7531
2215 S Washington St
Kaufman, TX 75142
Phone (214) 932-8687
2525 E US Highway 175
Ste A
Kaufman, TX 75142
2525 E US Highway 175
Kaufman, TX 75142
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 6056104 | TX | Yes |
Addresses
Primary practice location
1008 E US Highway 175
Suite B
Crandall, TX 75114-2545
Mailing address
PO Box 337
Kaufman, TX 75142-0337
Phone (972) 932-8599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6056104 | Other | TX | BOARD REGISTRATION |
Other providers in Crandall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.