Provider Demographics
NPI:1215506886
Name:PUSH THERAPY LLC
Entity type:Organization
Organization Name:PUSH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-429-5330
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1606
Mailing Address - Country:US
Mailing Address - Phone:956-502-1333
Mailing Address - Fax:
Practice Address - Street 1:1319 JUBILEE AVE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2808
Practice Address - Country:US
Practice Address - Phone:956-429-5330
Practice Address - Fax:866-903-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health