Provider Demographics
NPI:1558952507
Name:ATLAS HUMAN PERFORMANCE
Entity Type:Organization
Organization Name:ATLAS HUMAN PERFORMANCE
Other - Org Name:ATLAS HUMAN PERFORMANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHUSSLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PT, ATC, CSCS
Authorized Official - Phone:412-389-1041
Mailing Address - Street 1:534 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-2116
Mailing Address - Country:US
Mailing Address - Phone:412-389-1041
Mailing Address - Fax:
Practice Address - Street 1:3300 AZALEA GARDEN RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2239
Practice Address - Country:US
Practice Address - Phone:412-389-1041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty