1346683588 NPI number — INTOWN PHYSICAL THERAPY, LLC

Table of content: (NPI 1346683588)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346683588 NPI number — INTOWN PHYSICAL THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTOWN 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:
Provider Other Organization Name Type Code:
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:
1346683588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
495 MORELAND AVE SE STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30316-1552
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-883-2204
Provider Business Mailing Address Fax Number:
404-393-3270

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
495 MORELAND AVE SE STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30316-1552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-883-2204
Provider Business Practice Location Address Fax Number:
404-393-3270
Provider Enumeration Date:
04/08/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
INGRID
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
404-883-2304

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT010150 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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