Provider Demographics
NPI:1497043442
Name:GAPT, INC
Entity Type:Organization
Organization Name:GAPT, INC
Other - Org Name:GRANDVIEW AVENUE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CORONA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:614-488-2225
Mailing Address - Street 1:1378 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2803
Mailing Address - Country:US
Mailing Address - Phone:614-488-2225
Mailing Address - Fax:614-488-2229
Practice Address - Street 1:1378 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-2803
Practice Address - Country:US
Practice Address - Phone:614-488-2225
Practice Address - Fax:614-488-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty