NPI 1578038428 · live from the CMS NPI Registry
180 Therapy Services, PLLC
Physical Therapist in Royse City, TX. National Provider Identifier 1578038428, active.
NPI record
| NPI | 1578038428 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 422 E Interstate 30 Ste B, Royse City, TX 75189 |
| Practice phone | 972-532-0448 |
| Mailing address | 422 E Interstate 30 Ste C, Royse City, TX 75189 |
| Enumerated | October 8, 2018 |
| Last updated | August 28, 2024 |
| Authorized official | Chase Randolph, Owner/Physical Therapist |
| Other names | Leading Edge Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.