Provider Demographics
NPI:1578501045
Name:PT CHEZ VOUS, INC.
Entity Type:Organization
Organization Name:PT CHEZ VOUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:215-266-8288
Mailing Address - Street 1:PO BOX 1321
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-0819
Mailing Address - Country:US
Mailing Address - Phone:215-266-8288
Mailing Address - Fax:215-947-4141
Practice Address - Street 1:3443 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3737
Practice Address - Country:US
Practice Address - Phone:215-266-8288
Practice Address - Fax:215-947-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30010OtherCIGNA
PA1997180OtherHIGHMARK BLUE SHIELD
PA711662OtherACN (UNITED HEALTHCARE)
PA1019169380001Medicaid
PA17895OtherBRAVO
PA30010OtherCIGNA