# PHYSIO GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003430562
- **Authorized official:** DR. ASHISH MESEPAM DPT (CEO/PHYSICAL THERAPIST)
- **Authorized official phone:** (682) 702-2562

## Contact information

- **Practice address:** 821 SHERYN DR, BURLESON, TX 76028-8655
- **Practice address phone:** (682) 702-2562
- **Mailing address:** 821 SHERYN DR, BURLESON, TX 76028-8655
- **Mailing address phone:** (682) 702-2562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251C2600X | Cardiopulmonary Physical Therapist | — | NULL | — |
| 2251C2600X | Cardiopulmonary Physical Therapist | — | — | — |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | Yes |
| 2251G0304X | Geriatric Physical Therapist | — | — | Yes |
| 2251N0400X | Neurology Physical Therapist | — | NULL | — |
| 2251N0400X | Neurology Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 06/01/2020