Provider Demographics
NPI:1497180335
Name:ENERGY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ENERGY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ADAMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, DPT, ATC
Authorized Official - Phone:610-310-0915
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-0091
Mailing Address - Country:US
Mailing Address - Phone:610-310-0915
Mailing Address - Fax:484-363-5954
Practice Address - Street 1:1405 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-9195
Practice Address - Country:US
Practice Address - Phone:610-310-0915
Practice Address - Fax:484-363-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015002261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy