Provider Demographics
NPI:1033671102
Name:CORE CONCEPTS PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:CORE CONCEPTS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-537-5046
Mailing Address - Street 1:3521 BROWN DIPPER DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2671
Mailing Address - Country:US
Mailing Address - Phone:512-537-5046
Mailing Address - Fax:512-677-6675
Practice Address - Street 1:3521 BROWN DIPPER DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2671
Practice Address - Country:US
Practice Address - Phone:512-537-5046
Practice Address - Fax:512-677-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy