Provider Demographics
NPI:1346455730
Name:BAY VIEW PHYSICAL THERAPY LTD.
Entity Type:Organization
Organization Name:BAY VIEW PHYSICAL THERAPY LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:125 OAK ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1650
Mailing Address - Country:US
Mailing Address - Phone:207-667-0290
Mailing Address - Fax:207-667-0288
Practice Address - Street 1:1300 WEST SAM HOUSTON PARKWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2453
Practice Address - Country:US
Practice Address - Phone:713-297-7000
Practice Address - Fax:713-297-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1146140002Medicare NSC