Provider Demographics
NPI:1467213694
Name:MOBILITY FIT PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:MOBILITY FIT PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-710-0515
Mailing Address - Street 1:7753 COX LN # 31
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6549
Mailing Address - Country:US
Mailing Address - Phone:513-802-1929
Mailing Address - Fax:888-972-7349
Practice Address - Street 1:801 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9306
Practice Address - Country:US
Practice Address - Phone:513-802-1929
Practice Address - Fax:888-972-7349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty