Provider Demographics
NPI:1093104762
Name:VIRTUS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:VIRTUS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MBA
Authorized Official - Phone:336-457-2483
Mailing Address - Street 1:952 GOLF HOUSE RD WEST
Mailing Address - Street 2:SUITE G
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377
Mailing Address - Country:US
Mailing Address - Phone:336-338-1652
Mailing Address - Fax:336-344-7007
Practice Address - Street 1:952 GOLF HOUSE RD WEST
Practice Address - Street 2:SUITE G
Practice Address - City:WHITSETT
Practice Address - State:NC
Practice Address - Zip Code:23737
Practice Address - Country:US
Practice Address - Phone:336-338-1652
Practice Address - Fax:336-344-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-17
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty