East Texas Pediatric Therapy is a
Physical Therapist based in Edgewood, Texas. East Texas Pediatric Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
108 N Houston St, Edgewood, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 896-1700.
NPI number for East Texas Pediatric Therapy is 1861714628 and their current mailing address is Po Box 234, Edgewood, Texas. East Texas Pediatric Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861714628.
Healthcare Provider's Profile
| Full Name | East Texas Pediatric Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
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| Location | 108 N Houston St, Edgewood, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861714628
- Provider Enumeration Date: 02/22/2010
- Last Update Date: 01/26/2011
Medical Identifiers
Medical identifiers for East Texas Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861714628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. East Texas Pediatric Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Texas Pediatric Therapy
Po Box 234,
Edgewood, TX 75117-2500
Ph: (903) 896-1700 | East Texas Pediatric Therapy
108 N Houston St,
Edgewood, TX 75117-2500
Ph: (903) 896-1700 |
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