Individual ProviderScott Michael HallakPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address18511 Highlander Medics St, Fort Bliss, TX 79906-5327(661) 917-3103PECOS EnrollmentBased on the most recent information from CMS, provider Scott Michael Hallak 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 18 days ago.Profile DetailsProvider ID1245889591Provider TypeIndividualFull NameHallak, Scott MichaelCredentialDPTGenderMaleSole ProprietorNoEnumeration Date9/10/2019Last Updated4/29/2025Contact InformationPractice LocationPractice Address18511 Highlander Medics St, Fort Bliss, TX 79906-5327Phone(661) 917-3103FaxUnlisted FaxMailing LocationMailing Address18511 Highlander Medics St, Fort Bliss, TX 79906-5327Phone(661) 917-3103FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1325857Texas