NACOGDOCHES PHYSICAL THERAPY LLC NPI 1316991441

NPI Information

  • NPI: 1316991441
  • Provider Name: NACOGDOCHES PHYSICAL THERAPY LLC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Doing Business As: NACOGDOCHES PHYSICAL EXELLENCE CENTER
  • Address: 3909 NE STALLING DRIVE
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (936) 564-7780

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NPI Details

NACOGDOCHES PHYSICAL THERAPY LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Nacogdoches, TX. NACOGDOCHES PHYSICAL THERAPY LLC NPI is 1316991441. The provider is registered as an organization entity type.
The provider Is Doing Business As Nacogdoches Physical Exellence Center.

The provider's business location address is:

3909 NE STALLING DRIVE
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-7780
Fax: (936) 564-0745

The provider's authorized official is Max H Mitchell .
The authorized official title is Administrator and has the following contact phone number (936) 564-7780.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 6/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100T24YOTHERBCBS TX
2021252401MEDICAIDTEXAS
3454509MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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