Provider Demographics
NPI:1083370324
Name:NEOFLEX PHYSIOTHERAPY PLLC
Entity Type:Organization
Organization Name:NEOFLEX PHYSIOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ESCARDA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:571-888-6686
Mailing Address - Street 1:8006 GRANDVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-3813
Mailing Address - Country:US
Mailing Address - Phone:571-888-6686
Mailing Address - Fax:
Practice Address - Street 1:217 CAMERON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3203
Practice Address - Country:US
Practice Address - Phone:571-888-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty