Provider Demographics
NPI:1164008157
Name:BE YOU SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:BE YOU SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEENBURGH
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:907-301-8609
Mailing Address - Street 1:PO BOX 5661
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-5661
Mailing Address - Country:US
Mailing Address - Phone:907-301-8609
Mailing Address - Fax:
Practice Address - Street 1:9511 BRIAN JAC LN
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-2005
Practice Address - Country:US
Practice Address - Phone:907-301-8609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy