OrganizationPractical Therapy LlcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9611 Acer Ave Ste 114, El Paso, TX 79925-6719(915) 300-0005PECOS EnrollmentBased on the most recent information from CMS, provider Practical Therapy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093379885Provider TypeOrganizationFull NamePractical Therapy LlcSubpartNoEnumeration Date4/26/2019Last Updated3/30/2023Contact InformationPractice LocationPractice Address9611 Acer Ave Ste 114, El Paso, TX 79925-6719Phone(915) 300-0005Fax(915) 300-0008Mailing LocationMailing Address9611 Acer Ave., Bldg B Suite 114, El Paso, TX 79925Phone(915) 300-0005Fax(915) 300-0008Authorized OfficialNameMolina, Dolly J (Physical Therapist)Phone(915) 300-0005Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1160590DescriptionOtherIssuerTDLRTexas