Provider Demographics
NPI:1386265981
Name:APPALACHIAN PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:APPALACHIAN PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITEFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:540-907-9501
Mailing Address - Street 1:171 EAST SPRINGBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BROADWAY
Mailing Address - State:VA
Mailing Address - Zip Code:22815-9526
Mailing Address - Country:US
Mailing Address - Phone:540-901-9501
Mailing Address - Fax:540-901-8773
Practice Address - Street 1:105 STONY POINTE WAY
Practice Address - Street 2:SUITE 211
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657
Practice Address - Country:US
Practice Address - Phone:540-901-9501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APPALACHIAN PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-05
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty