Provider Demographics
NPI:1891408100
Name:PHYSICAL THERAPY PLUS, INC
Entity type:Organization
Organization Name:PHYSICAL THERAPY PLUS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SURN-LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:YEK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:925-300-7076
Mailing Address - Street 1:2005 SHADY CREEK PL
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4359
Mailing Address - Country:US
Mailing Address - Phone:925-300-7076
Mailing Address - Fax:
Practice Address - Street 1:400 EVELYN AVE STE 218
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1375
Practice Address - Country:US
Practice Address - Phone:925-300-7076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty