Provider Demographics
NPI:1003021668
Name:US PT THERAPY SERVICES INC
Entity Type:Organization
Organization Name:US PT THERAPY SERVICES INC
Other - Org Name:PINNACLE THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1520 E 23RD ST S
Mailing Address - Street 2:SUITE D
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-1600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1520 E 23RD ST S
Practice Address - Street 2:SUITE D
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-1600
Practice Address - Country:US
Practice Address - Phone:816-836-0800
Practice Address - Fax:816-836-3229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US PT THERAPY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-14
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4621230006Medicare NSC