Provider Demographics
NPI:1194529487
Name:HUSTLE PHYSICAL THERAPY AND PERFORMANCE LLC
Entity type:Organization
Organization Name:HUSTLE PHYSICAL THERAPY AND PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST/AT
Authorized Official - Prefix:
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:GLINES
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT,ATC
Authorized Official - Phone:513-910-8474
Mailing Address - Street 1:4303 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-1654
Mailing Address - Country:US
Mailing Address - Phone:513-910-8474
Mailing Address - Fax:
Practice Address - Street 1:5775 CONSTITUTION DR APT 2
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4247
Practice Address - Country:US
Practice Address - Phone:513-910-8474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy