Provider Demographics
NPI:1063763704
Name:EXCEL PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:EXCEL PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1700 E BOGARD RD
Mailing Address - Street 2:SUITE B-203
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6563
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:611 S KNIK GOOSE BAY RD
Practice Address - Street 2:SUITES D & E
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8078
Practice Address - Country:US
Practice Address - Phone:907-376-1150
Practice Address - Fax:907-376-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK160567Medicare PIN