Provider Demographics
NPI:1679199459
Name:ALIGN PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ALIGN PHYSICAL THERAPY LLC
Other - Org Name:ALIGN PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LYNN SILVERMAN
Authorized Official - Last Name:HOSKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:678-671-6114
Mailing Address - Street 1:1610 LAVISTA RD NE STE 9
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4316
Mailing Address - Country:US
Mailing Address - Phone:678-671-6114
Mailing Address - Fax:
Practice Address - Street 1:1610 LAVISTA RD NE STE 9
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-4316
Practice Address - Country:US
Practice Address - Phone:678-671-6114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty