Ross Physical Therapy & Wellness LLC
Organization Active NPI Physical Therapist · Lipan, TX
NPI 1760180764 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1760180764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ROSS PHYSICAL THERAPY & WELLNESS LLC
- Practice address
- 215 W Lipan Dr
Lipan, TX 76462-2001 - Phone
- (325) 716-9443
- NPI assigned
- Feb 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Traci Ross, PT
- Title
- Authorized Official
- Phone
- (325) 716-9443
Practitioners 3
-
Austin Felts, DPT
-
Traci S Ross, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230411002428 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1052786746 |
Receives reassigned benefits from 2 practitioners Practice locations: Lipan, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
215 W Lipan Dr
Lipan, TX 76462-2001
Mailing address
PO Box 119
Lipan, TX 76462-0119
Phone (325) 716-9443
Other providers in Lipan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. 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.