John Robert Cox, PTA

Individual provider Active NPI Physical Therapy Assistant · Winnsboro, TX

NPI 1669960472 · NPPES record last updated Apr 26, 2018

Key facts

NPI
1669960472
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2049638 (TX)
Practice address
406 S Main St
Winnsboro, TX 75494-3226
Phone
(903) 342-6796
NPI assigned
Apr 26, 2018
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
2049638TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
225200000X 2049638 TX Yes

Addresses

Primary practice location

406 S Main St
Winnsboro, TX 75494-3226

Mailing address

21801 FM 16 W
Lindale, TX 75771-5509
Phone (903) 539-2804

Other identifiers

IdentifierTypeStateIssuer
2049638OtherTXPTA LICENSE

Other providers in Winnsboro, TX

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

Sources for this page

Verify at the official NPI Registry.