Xzact Therapy and Aquatics LLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Paris, TX
NPI 1992125447 · NPPES record last updated Sep 15, 2022
Key facts
- NPI
- 1992125447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- XZACT THERAPY AND AQUATICS LLC
- Practice address
- 1675 NE Loop 286
Paris, TX 75460-2219 - Phone
- (903) 782-9922
- Fax
- (903) 784-8384
- NPI assigned
- Apr 23, 2014
- Organization subpart
- No
Authorized official
- Name
- Zachary S Michael
- Title
- President
- Phone
- (903) 782-9922
Practitioners 29
-
Zachary Seth Michael, DPT
-
Samantha Myrick Huie, PT, DPT
-
Samuel Leon Nixon, DPT
-
Patty Lynn Brown, OT
-
Holly C Abshire, LAT
-
Vernon Cole Barker, MS, ATC, LAT
-
Daniel John Bulls, ATC
-
Ashley Ladon Day, PTA
-
Amanda Linee Glover, PT, DPT
-
Janae Ramy Graham, PTA
-
Chance Hensley, PTA
-
Kamie Nicole James, PTA
-
Haley Leann Michael, COTA
-
Tyler Dennis Michael, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150513000501 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9830314764 |
Receives reassigned benefits from 7 practitioners Practice locations: Blossom, TX; Paris, TX |
National Provider Directory
Locations
1675 NE Loop 286
Paris, TX 75460
Phone (903) 782-9922
1675 N E Loop 286
Paris, TX 75460
Phone (903) 784-8930
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
1675 NE Loop 286
Paris, TX 75460-2219
Mailing address
1675 NE Loop 286
Paris, TX 75460-2219
Phone (903) 782-9922
Other providers in Paris, TX
- Worldwide Imaging Technologies, PA
- Abigail Wright
- Mariel Wright
- Agnes Bertha Xavier
- Joseph Rajakulendran Xavier
- Robert Michael Young
- Michael A. Zanchi
- Zenithcare Inc
- Adam Zigler
All providers in Paris, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2022. 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.