Provider Demographics
NPI:1093546624
Name:HELIX PERFORMANCE PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:HELIX PERFORMANCE PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WESTON
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:925-222-5101
Mailing Address - Street 1:3420 FOSTORIA WAY STE A100
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-5570
Mailing Address - Country:US
Mailing Address - Phone:925-222-5101
Mailing Address - Fax:925-233-3313
Practice Address - Street 1:3420 FOSTORIA WAY STE A100
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-5570
Practice Address - Country:US
Practice Address - Phone:925-222-5101
Practice Address - Fax:925-233-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty