Provider Demographics
NPI:1659807915
Name:AGAPE PHYSICAL THERAPY & SPORTS REHABILITATION LP
Entity Type:Organization
Organization Name:AGAPE PHYSICAL THERAPY & SPORTS REHABILITATION LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:6 BARNES CORNER RD
Mailing Address - Street 2:
Mailing Address - City:COLORA
Mailing Address - State:MD
Mailing Address - Zip Code:21917-1204
Mailing Address - Country:US
Mailing Address - Phone:410-658-6616
Mailing Address - Fax:410-658-6617
Practice Address - Street 1:6 BARNES CORNER RD
Practice Address - Street 2:
Practice Address - City:COLORA
Practice Address - State:MD
Practice Address - Zip Code:21917-1204
Practice Address - Country:US
Practice Address - Phone:410-658-6616
Practice Address - Fax:410-658-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-05
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty