Joe Petree, PTA
Individual provider Active NPI Physical Therapy Assistant · Cisco, TX
NPI 1831649433 · NPPES record last updated Oct 6, 2016
Key facts
- NPI
- 1831649433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2114207 (TX)
- Practice address
- 200 W 8TH St
Cisco, TX 76437-3023 - Phone
- (254) 631-7503
- NPI assigned
- Oct 6, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2114207 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2114207 | TX | Yes |
Addresses
Primary practice location
200 W 8TH St
Cisco, TX 76437-3023
Mailing address
200 W 8TH St
Cisco, TX 76437-3023
Phone (254) 631-7503
Other providers in Cisco, TX
- Nicole Marie Mark
- Ashley McKee
- Laura Diane Miller
- Keali Mullins
- Petree and Hearne Therapy Enterprises, PLLC
- Rhonda Lynne Pipkin
- Plexus Medical Supply, LLC
- Plexus Treatment Centers, P.a.
- Pyramid Healthcare Corp.
- Jonathon Heath Reich
All providers in Cisco, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.