Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THERAPY SERVICES PT AND OT
Active
Organization
THERAPY SERVICES PT AND OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY WILSON (CONTRACT & CREDENTIALING SPECIALIST)
(972) 372-6779
Entity
Organization
Contact information
Practice address
2330 MAPLE RD, WILLIAMSVILLE, NY 14221-4000
(716) 778-4877
(479) 935-1879
Mailing address
2601 NETWORK BLVD STE 102, FRISCO, TX 75034-9092
(972) 372-6779
(479) 668-0872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up