Provider Demographics
NPI:1376823120
Name:BE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:BE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:O'ROURKE-BARR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:340-513-9166
Mailing Address - Street 1:6115 ESTATE SMITH BAY STE 334-335
Mailing Address - Street 2:BOX 5
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1324
Mailing Address - Country:US
Mailing Address - Phone:340-513-9166
Mailing Address - Fax:
Practice Address - Street 1:6115 ESTATE SMITH BAY STE 334-335
Practice Address - Street 2:BOX 5
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1324
Practice Address - Country:US
Practice Address - Phone:340-513-9166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1222251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty