Provider Demographics
NPI:1437895000
Name:ITREAT PHYSICAL THERAPY & WELLNESS INC
Entity Type:Organization
Organization Name:ITREAT PHYSICAL THERAPY & WELLNESS INC
Other - Org Name:ITREAT PHYSICAL THERAPY & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMPLOYEE OF ITREAT PT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:LY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:267-269-9288
Mailing Address - Street 1:2069 MERCY ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-2806
Mailing Address - Country:US
Mailing Address - Phone:267-269-9288
Mailing Address - Fax:215-271-0489
Practice Address - Street 1:2069 MERCY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2806
Practice Address - Country:US
Practice Address - Phone:267-269-9288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty