Reza Nabavi, P.T. – Physical Therapist

Key facts

NPI: 1689726960
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 1039477 (TX)
Practice address: 2696 N Galloway Ave
Suite 101
Mesquite, TX 75150-6362
Phone: (972) 270-5555
Fax: (972) 270-7071
NPI assigned: Jan 17, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Kaufman Physical Therapy and Rehabilitation Physical Therapist · Crandall, TX · NPI 1437201308

Medicare reassignment NPD Authorized official PHYSICAL THERAPIST · TX

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20041221000786	TX	Practitioner - Physical Therapist in Private Practice	0840258984	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Kaufman Physical Therapy and Rehabilitation	Physical Therapist	Current since Dec 21, 2004	Accepting new patients

Locations

2700 Commerce Way
Ste 100
Kaufman, TX 75142
Phone (469) 595-3737

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	1039477	TX	Yes

Addresses

Primary practice location

2696 N Galloway Ave
Suite 101
Mesquite, TX 75150-6362

Mailing address

2696 N Galloway Ave
Suite 101
Mesquite, TX 75150-6362
Phone (972) 270-5555

Other names

Mr. Reza Nabavi Professional name

Other providers in Mesquite, TX

All providers in Mesquite, TX · Physical Therapist in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. 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.

Verify at the official NPI Registry.