Provider Demographics
NPI:1215268172
Name:PHOENIX PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:PHOENIX PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:7901 DILEY RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9653
Mailing Address - Country:US
Mailing Address - Phone:614-834-2995
Mailing Address - Fax:614-834-3533
Practice Address - Street 1:7901 DILEY RD
Practice Address - Street 2:SUITE 255
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9653
Practice Address - Country:US
Practice Address - Phone:614-834-2995
Practice Address - Fax:614-834-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty