Provider Demographics
NPI:1063940658
Name:AMY G. BRIGGS PHYSICAL THERAPY ENTERPRISES, PLLC
Entity type:Organization
Organization Name:AMY G. BRIGGS PHYSICAL THERAPY ENTERPRISES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT/PRIMARY CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMENDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-705-7274
Mailing Address - Street 1:391 E. LAS COLINAS BLVD.
Mailing Address - Street 2:SUITE 130 #413
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 LAS COLINAS BLVD E APT 112
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5543
Practice Address - Country:US
Practice Address - Phone:214-336-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMY G. BRIGGS PHYSICAL THERAPY ENTERPRISES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-26
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy