Provider Demographics
NPI:1447736392
Name:STEVE KRAVITZ PHYSICAL THERAPY
Entity Type:Organization
Organization Name:STEVE KRAVITZ PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT CST
Authorized Official - Phone:615-840-3281
Mailing Address - Street 1:2000 GLEN ECHO RD STE 209
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2898
Mailing Address - Country:US
Mailing Address - Phone:615-840-3281
Mailing Address - Fax:646-537-1748
Practice Address - Street 1:2000 GLEN ECHO RD STE 209
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2898
Practice Address - Country:US
Practice Address - Phone:615-840-3281
Practice Address - Fax:646-537-1748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6033817OtherBCBS