OrganizationVictoria Physical Therapy Pc(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address601 E San Antonio, Suite 301 W, Victoria, TX 77901(361) 578-3513PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Physical Therapy Pc 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 yesterday at 12:57 PM.Profile DetailsProvider ID1194792812Provider TypeOrganizationFull NameVictoria Physical Therapy PcOther Name<Unavail>SubpartNoEnumeration Date3/1/2006Last Updated5/19/2016Contact InformationPractice LocationPractice Address601 E San Antonio, Suite 301 W, Victoria, TX 77901Phone(361) 578-3513Fax(361) 578-4623Mailing LocationMailing Address601 E San Antonio, Suite 301 W, Victoria, TX 77901Phone(361) 578-3513Fax(361) 578-4623Authorized OfficialNameDrost, Mary E (President Of Victoria P T Pc)Phone(361) 578-3513Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense655760000TexasProvider IdentifiersIDDescriptionIssuerID00T47YDescriptionOtherIssuerBLUE CROSS BLUE SHIELD