Provider Demographics
NPI:1154601060
Name:INTEGRATED PHYSICAL THERAPY
Entity type:Organization
Organization Name:INTEGRATED PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL ASHBY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-597-5315
Mailing Address - Street 1:7900 HENNEMAN WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2914
Mailing Address - Country:US
Mailing Address - Phone:469-854-8570
Mailing Address - Fax:469-854-8583
Practice Address - Street 1:7900 HENNEMAN WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2914
Practice Address - Country:US
Practice Address - Phone:469-854-8570
Practice Address - Fax:469-854-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty