Source One Rehabilitation

NPI #1093090128 in Plano, Texas

Provider Information

NPI Number: 1093090128
Entity Type: Organization
Organization Name: Source One Rehabilitation
Primary Specialty: Physical Therapist
Enumeration Date: Oct 20, 2011
Last Updated: Mar 24, 2022

Practice Location

Address: 5425 W SPRING CREEK PKWY STE 270
City: Plano
State: Texas
ZIP Code: 75024-4317
Phone: (972) 801-2190

Authorized Official

Name: JARROD ROGERS
Title: PRES/CEO
Phone: (214) 577-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Exercise & Sports — Exercise & Sports	103TE1100X
Psychologist - Rehabilitation — Rehabilitation	103TR0400X
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Occupational Therapist	225X00000X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Physical Therapist	225100000X	Primary

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