Provider Demographics
NPI:1407584378
Name:TOP TIER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:TOP TIER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:LOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-824-5397
Mailing Address - Street 1:685 COURTLY ROAD
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734
Mailing Address - Country:US
Mailing Address - Phone:302-824-5397
Mailing Address - Fax:
Practice Address - Street 1:600 N BROAD ST STE 1
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1032
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy