Provider Demographics
NPI:1588856876
Name:BAY CITY PHYSCIAL THERAPY INC
Entity Type:Organization
Organization Name:BAY CITY PHYSCIAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MPT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:G
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:979-245-0300
Mailing Address - Street 1:1221 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-3413
Mailing Address - Country:US
Mailing Address - Phone:979-245-0300
Mailing Address - Fax:979-245-4010
Practice Address - Street 1:1221 AVENUE F
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-3413
Practice Address - Country:US
Practice Address - Phone:979-245-0300
Practice Address - Fax:979-245-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty