1750615373 NPI number — ARLINGTON PHYSICAL THERAPY, LLC

Table of content: DR. AMBER NICOLE SLEEM D.O. (NPI 1316501208)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750615373 NPI number — ARLINGTON PHYSICAL THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARLINGTON PHYSICAL THERAPY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ARLINGTON PHYSICAL THERAPY
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750615373
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5584 AIRLINE RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38002-9528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-317-7054
Provider Business Mailing Address Fax Number:
901-317-7064

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5584 AIRLINE RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38002-9528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-317-7054
Provider Business Practice Location Address Fax Number:
901-317-7064
Provider Enumeration Date:
09/29/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CONNELL
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
CLARK
Authorized Official Title or Position:
DIRECTOR OF PHYSICAL THERAPY
Authorized Official Telephone Number:
901-317-7054

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT0000007321 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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