Provider Demographics
NPI:1154194801
Name:PHYSICAL THERAPY EXPERTS, PLLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY EXPERTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:YUDHISTHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:469-712-6661
Mailing Address - Street 1:3512 SPRING MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4364
Mailing Address - Country:US
Mailing Address - Phone:469-712-6661
Mailing Address - Fax:972-476-1300
Practice Address - Street 1:3512 SPRING MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4364
Practice Address - Country:US
Practice Address - Phone:469-712-6661
Practice Address - Fax:972-476-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy