Provider Demographics
NPI:1194901298
Name:GLOBERMAN PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:GLOBERMAN PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:ANAV
Authorized Official - Last Name:GLOBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:805-339-0171
Mailing Address - Street 1:2727 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2803
Mailing Address - Country:US
Mailing Address - Phone:805-339-0171
Mailing Address - Fax:805-644-4211
Practice Address - Street 1:2727 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2803
Practice Address - Country:US
Practice Address - Phone:805-339-0171
Practice Address - Fax:805-644-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT257992251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT25799AMedicare UPIN