Provider Demographics
NPI:1609938752
Name:ORTHOMED PHYSICAL THERAPY ASSOCIATES LLC
Entity Type:Organization
Organization Name:ORTHOMED PHYSICAL THERAPY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:775-354-1188
Mailing Address - Street 1:5901 LOS ALTOS PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-7666
Mailing Address - Country:US
Mailing Address - Phone:775-354-1188
Mailing Address - Fax:775-354-1187
Practice Address - Street 1:5901 LOS ALTOS PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7666
Practice Address - Country:US
Practice Address - Phone:775-354-1188
Practice Address - Fax:775-354-1187
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOMED PHYSICAL THERAPY ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-15
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy