Provider Demographics
NPI:1598198467
Name:ROBIN IRWIN PHYSICAL THERAPY SERVICES
Entity Type:Organization
Organization Name:ROBIN IRWIN PHYSICAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, SCDPT
Authorized Official - Phone:256-309-0454
Mailing Address - Street 1:1931 CENTRAL PKWY SW
Mailing Address - Street 2:SUITE S
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6848
Mailing Address - Country:US
Mailing Address - Phone:256-309-0454
Mailing Address - Fax:256-309-0422
Practice Address - Street 1:1931 CENTRAL PKWY SW
Practice Address - Street 2:SUITE S
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6848
Practice Address - Country:US
Practice Address - Phone:256-309-0454
Practice Address - Fax:256-309-0422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty