Provider Demographics
NPI:1003409152
Name:VEDA POSIT AGING LLC
Entity Type:Organization
Organization Name:VEDA POSIT AGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:REKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MHS
Authorized Official - Phone:404-790-0360
Mailing Address - Street 1:5209 MCCORMICK MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-1815
Mailing Address - Country:US
Mailing Address - Phone:404-790-0360
Mailing Address - Fax:
Practice Address - Street 1:5209 MCCORMICK MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-1815
Practice Address - Country:US
Practice Address - Phone:404-790-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy