Provider Demographics
NPI:1508478264
Name:THEMOBILEPT PLLC
Entity Type:Organization
Organization Name:THEMOBILEPT PLLC
Other - Org Name:PHYSICAL THERAPY OF WINTER SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANTONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRGIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:407-452-4027
Mailing Address - Street 1:14948 INDIGO LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4919
Mailing Address - Country:US
Mailing Address - Phone:407-452-4027
Mailing Address - Fax:
Practice Address - Street 1:701 E STATE ROAD 434 STE 1061
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2701
Practice Address - Country:US
Practice Address - Phone:407-452-4027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-23
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty