Provider Demographics
NPI:1083126759
Name:ALIGN FITNESS A PHYSICAL THERAPY CORPORATION
Entity Type:Organization
Organization Name:ALIGN FITNESS A PHYSICAL THERAPY CORPORATION
Other - Org Name:ALIGN PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:LYNN GELBART
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:213-446-8658
Mailing Address - Street 1:562 N LARCHMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-1306
Mailing Address - Country:US
Mailing Address - Phone:213-446-8658
Mailing Address - Fax:
Practice Address - Street 1:562 N LARCHMONT BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-1306
Practice Address - Country:US
Practice Address - Phone:213-446-8658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALIGN FITNESS MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy