Provider Demographics
NPI:1346939055
Name:ATX PELVIC HEALTH LLC
Entity Type:Organization
Organization Name:ATX PELVIC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TOUSSAINT
Authorized Official - Middle Name:
Authorized Official - Last Name:BIONDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-270-0273
Mailing Address - Street 1:4309 AIRPORT BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-1005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4309 AIRPORT BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1005
Practice Address - Country:US
Practice Address - Phone:512-270-0273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty