Provider Demographics
NPI:1063422707
Name:ARLINGTON PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:ARLINGTON PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:817-466-7276
Mailing Address - Street 1:2310 INTERSTATE 20 W
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1677
Mailing Address - Country:US
Mailing Address - Phone:817-466-7276
Mailing Address - Fax:817-466-7286
Practice Address - Street 1:2310 INTERSTATE 20 W
Practice Address - Street 2:SUITE 204
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1677
Practice Address - Country:US
Practice Address - Phone:817-466-7276
Practice Address - Fax:844-283-4950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX656190000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608640200OtherDEPARTMENT OF LABOR
TX0045MEOtherBCBS GROUP #
TX0045MEOtherBCBS GROUP #