Provider Demographics
NPI:1417790650
Name:HEX PHYSICAL THERAPY AND PERFORMANCE
Entity type:Organization
Organization Name:HEX PHYSICAL THERAPY AND PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:631-942-7945
Mailing Address - Street 1:9179 RED BRANCH RD STE L
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2023
Mailing Address - Country:US
Mailing Address - Phone:631-942-7945
Mailing Address - Fax:
Practice Address - Street 1:9179 RED BRANCH RD STE L
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2023
Practice Address - Country:US
Practice Address - Phone:631-942-7945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy