| Organization Name: | CLEBURNE PHYSICAL THERAPY & SPORTS REHABILITATION, INC. |
| NPI Number: | 1205800802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK F. SIMMERMAN (CEO) |
| Mailing Address: | 1014 N Nolan River Rd Cleburne |
| State: | TX US |
| Postal Code: | 760337925 |
| Phone Number: | 8176418617 |
| Fax Number: | 8176456966 |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 09/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6019700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |