Provider Demographics
NPI:1356448997
Name:ROBERT L. FLEMING JR. P.T., INC.
Entity Type:Organization
Organization Name:ROBERT L. FLEMING JR. P.T., INC.
Other - Org Name:FLEMING REHAB & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:II
Authorized Official - Credentials:PT
Authorized Official - Phone:251-380-1111
Mailing Address - Street 1:709 DOWNTOWNER LOOP W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5503
Mailing Address - Country:US
Mailing Address - Phone:251-380-1111
Mailing Address - Fax:251-380-1110
Practice Address - Street 1:709 DOWNTOWNER LOOP W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5503
Practice Address - Country:US
Practice Address - Phone:251-380-1111
Practice Address - Fax:251-380-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
J485Medicare PIN