Provider Demographics
NPI:1417792177
Name:A ONE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:A ONE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TUSHAR
Authorized Official - Middle Name:ISHWERLAL
Authorized Official - Last Name:MAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:352-274-0496
Mailing Address - Street 1:7651 SW HIGHWAY 200 STE 206
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-7727
Mailing Address - Country:US
Mailing Address - Phone:352-304-5550
Mailing Address - Fax:
Practice Address - Street 1:12139 S WILLIAMS ST STE A
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-6056
Practice Address - Country:US
Practice Address - Phone:352-533-4334
Practice Address - Fax:352-304-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty