# IDEAL PHYSICAL THERAPY OF TEXAS LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669124772
- **Authorized official:** WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 2002 W GRAND PKWY N STE 125, KATY, TX 77449-2518
- **Practice address phone:** (281) 710-9001
- **Practice address fax:** (281) 697-6703
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2022
- **Last updated:** 04/30/2024