Provider Demographics
NPI:1093604563
Name:ANCHORED SPINE AND PELVIC THERAPY LLC
Entity type:Organization
Organization Name:ANCHORED SPINE AND PELVIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CERT MDT
Authorized Official - Phone:404-933-2101
Mailing Address - Street 1:3462 WETUMPKA HWY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36110-2743
Mailing Address - Country:US
Mailing Address - Phone:404-933-2101
Mailing Address - Fax:334-219-5348
Practice Address - Street 1:3462 WETUMPKA HWY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36110-2743
Practice Address - Country:US
Practice Address - Phone:404-933-2101
Practice Address - Fax:334-219-5348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy