Provider Demographics
NPI:1326639477
Name:TRANSITION PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:TRANSITION PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-759-1959
Mailing Address - Street 1:115 SARATOGA WAYE NE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-3664
Mailing Address - Country:US
Mailing Address - Phone:603-759-1959
Mailing Address - Fax:
Practice Address - Street 1:129 PARK ST NE STE 11
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4603
Practice Address - Country:US
Practice Address - Phone:571-210-0079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty