Provider Demographics
NPI:1093311169
Name:AIRROSTI PT, PC
Entity Type:Organization
Organization Name:AIRROSTI PT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & ASSISTANT SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:WISSEL-LITTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:800-404-6050
Mailing Address - Street 1:111 TOWER DR BLDG 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3625
Mailing Address - Country:US
Mailing Address - Phone:866-310-9123
Mailing Address - Fax:
Practice Address - Street 1:111 TOWER DR BLDG 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3625
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty