Provider Demographics
NPI:1427688100
Name:PHYSICAL THERAPY - ON DEMAND INC.
Entity type:Organization
Organization Name:PHYSICAL THERAPY - ON DEMAND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-719-5565
Mailing Address - Street 1:16095 BIG SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-2023
Mailing Address - Country:US
Mailing Address - Phone:619-719-5565
Mailing Address - Fax:619-719-5502
Practice Address - Street 1:16095 BIG SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-2023
Practice Address - Country:US
Practice Address - Phone:619-719-5565
Practice Address - Fax:619-719-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty