Provider Demographics
NPI:1972301232
Name:NIRVANA PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:NIRVANA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:POOJA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-591-1185
Mailing Address - Street 1:8650 TOSOMOCK LN
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6719
Mailing Address - Country:US
Mailing Address - Phone:850-591-1185
Mailing Address - Fax:
Practice Address - Street 1:8650 TOSOMOCK LN
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6719
Practice Address - Country:US
Practice Address - Phone:850-591-1185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty