NPI Index

SOURCE 1 MEDICAL INC

Physical Therapist

Active Organization
NPI: 1457016966

Practice Address

8080 INDEPENDENCE PKWY STE 110A
Plano, TX 75025

Phone: (469) 658-0100

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X No -
Occupational Therapist - Neurorehabilitation 225XN1300X No -
Occupational Therapist - Physical Rehabilitation 225XP0019X No -
Specialist/Technologist, Other - Electroneurodiagnostic 246ZE0600X No -
Clinic/Center - Occupational Medicine 261QX0100X No -
Psychiatry & Neurology - Neurology 2084N0400X No -
Physical Therapist - Electrophysiology, Clinical 2251E1300X No -
Physical Therapist - Sports 2251S0007X No -
Physical Therapist - Orthopedic 2251X0800X No -
Psychiatry & Neurology - Clinical Neurophysiology 2084N0600X No -
Electrodiagnostic Medicine 204R00000X No -
Physical Therapist 225100000X Yes -

Frequently Asked Questions

NPI 1457016966 is the National Provider Identifier for SOURCE 1 MEDICAL INC, a Physical Therapist provider located in Plano, TX. This NPI was enumerated on November 1, 2021.

Quick Facts

NPI
1457016966
Type
Organization
Enumerated
Nov 1, 2021
Last Updated
May 12, 2025

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