Provider Demographics
NPI:1679290613
Name:OSTERT PHYSICAL THERAPY
Entity Type:Organization
Organization Name:OSTERT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRILLE
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:OSTERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:910-637-0073
Mailing Address - Street 1:340 COMMERCE AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-7168
Mailing Address - Country:US
Mailing Address - Phone:910-637-0073
Mailing Address - Fax:910-621-0026
Practice Address - Street 1:340 COMMERCE AVE STE 15
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-7168
Practice Address - Country:US
Practice Address - Phone:910-637-0073
Practice Address - Fax:910-621-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy