Provider Demographics
NPI:1417373929
Name:ONE ON ONE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ONE ON ONE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:716-474-7248
Mailing Address - Street 1:9707 ANDERSON MILL RD STE 340
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-0018
Mailing Address - Country:US
Mailing Address - Phone:512-258-5300
Mailing Address - Fax:512-258-4475
Practice Address - Street 1:9707 ANDERSON MILL RD STE 340
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-0018
Practice Address - Country:US
Practice Address - Phone:512-258-5300
Practice Address - Fax:512-258-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675720000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy