Provider Demographics
NPI:1386429660
Name:ATHLETE S PHYSICAL THERAPIST LLC
Entity type:Organization
Organization Name:ATHLETE S PHYSICAL THERAPIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:ZENBUSINESS
Authorized Official - Middle Name:
Authorized Official - Last Name:INC
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:844-493-6249
Mailing Address - Street 1:7505 GLEBE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5909
Mailing Address - Country:US
Mailing Address - Phone:757-344-8979
Mailing Address - Fax:
Practice Address - Street 1:7505 GLEBE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5909
Practice Address - Country:US
Practice Address - Phone:757-344-8979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty