Provider Demographics
NPI:1972617470
Name:FLEES, JOSEPHINE J (PT)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:J
Last Name:FLEES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6937 N IH 35
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3295
Mailing Address - Country:US
Mailing Address - Phone:512-231-5210
Mailing Address - Fax:512-231-5211
Practice Address - Street 1:6835 AUSTIN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3166
Practice Address - Country:US
Practice Address - Phone:512-231-5210
Practice Address - Fax:512-231-5211
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1113918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G2477Medicare ID - Type UnspecifiedMEDICARE
TX8L11723Medicare PIN
TX8L11660Medicare PIN