OrganizationCrossroads Physical Therapy CenterPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1501 N Navarro St # C, Victoria, TX 77901-6027(361) 572-9113PECOS EnrollmentBased on the most recent information from CMS, provider Crossroads Physical Therapy Center 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 ID1376827386Provider TypeOrganizationFull NameCrossroads Physical Therapy CenterSubpartNoEnumeration Date10/10/2011Last Updated10/10/2011Contact InformationPractice LocationPractice Address1501 N Navarro St # C, Victoria, TX 77901-6027Phone(361) 572-9113Fax(361) 572-9195Mailing LocationMailing Address1501 N Navarro St # C, Victoria, TX 77901-6027Phone(361) 572-9113Fax(361) 572-9195Authorized OfficialNameRyan, Bruce A (L.P.T./Owner)Phone(361) 572-9113Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1039311Texas