Provider Demographics
NPI:1437386778
Name:APPLIED THERAPY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:APPLIED THERAPY SOLUTIONS, LLC
Other - Org Name:APPLIED THERAPY SOLUTIONS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:STOTTLEMYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-644-2966
Mailing Address - Street 1:22908 WREN ST
Mailing Address - Street 2:
Mailing Address - City:GRAND TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:92313-5580
Mailing Address - Country:US
Mailing Address - Phone:800-644-2966
Mailing Address - Fax:909-363-8574
Practice Address - Street 1:22908 WREN ST
Practice Address - Street 2:
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-5580
Practice Address - Country:US
Practice Address - Phone:800-644-2966
Practice Address - Fax:909-363-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-14
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DR0006AMedicare UPIN