Provider Demographics
NPI:1699490466
Name:FYZ PT LLC
Entity type:Organization
Organization Name:FYZ PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-669-0111
Mailing Address - Street 1:1150 HEMPSTEAD VILLA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6048
Mailing Address - Country:US
Mailing Address - Phone:214-669-0111
Mailing Address - Fax:
Practice Address - Street 1:11930 BARKER CYPRESS RD STE 300
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7352
Practice Address - Country:US
Practice Address - Phone:832-779-8324
Practice Address - Fax:832-810-0233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy