Provider Demographics
NPI:1689903122
Name:ATLAS PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:ATLAS PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-261-1000
Mailing Address - Street 1:204 A BRIGHTON PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486
Mailing Address - Country:US
Mailing Address - Phone:843-261-1000
Mailing Address - Fax:843-261-1002
Practice Address - Street 1:204 A BRIGHTON PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486
Practice Address - Country:US
Practice Address - Phone:843-261-1000
Practice Address - Fax:843-261-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5756261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy