Provider Demographics
NPI:1487609681
Name:RIDGE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:RIDGE PHYSICAL THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STROBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:610-630-8878
Mailing Address - Street 1:2525 W MAIN ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-6001
Mailing Address - Country:US
Mailing Address - Phone:610-630-8878
Mailing Address - Fax:610-630-1976
Practice Address - Street 1:2525 W MAIN ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-6001
Practice Address - Country:US
Practice Address - Phone:610-630-8878
Practice Address - Fax:610-630-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013763L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty