Organization
ADVANCED PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FREDERICK MCGOUGH PT (OWNER/PHYSICAL THERAPIST)
(972) 434-6024
Entity
Organization
Contact information
Practice address
724 W MAIN ST, STE 180, LEWISVILLE, TX 75067-3583
(972) 434-6024
(972) 434-2784
Mailing address
724 W MAIN ST, STE 180, LEWISVILLE, TX 75067-3583
(972) 434-6024
(972) 434-2784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
532820000
TX
174400000X
Specialist
Primary
632910000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095DS
BLUECROSSBLUESHIELD OF TX
TX
05
—
164329801
—
TX
01
—
181336500
DEPARTMENT OF LABOR
TX
01
—
650019522
RAILROAD MEDICARE
TX
Enumeration date
06/21/2005
Last updated
08/22/2020
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