Provider Demographics
NPI:1346614963
Name:LAFAYETTE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:LAFAYETTE PHYSICAL THERAPY, INC.
Other - Org Name:BAY AREA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:HANAE
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-284-6150
Mailing Address - Street 1:380 CIVIC DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1946
Mailing Address - Country:US
Mailing Address - Phone:925-284-3840
Mailing Address - Fax:855-814-4495
Practice Address - Street 1:380 CIVIC DR STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1946
Practice Address - Country:US
Practice Address - Phone:925-284-3840
Practice Address - Fax:855-814-4495
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAFAYETTE PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-19
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Multi-Specialty