Provider Demographics
NPI:1700866712
Name:ASSOCIATED PHYSICAL THERAPISTS, INC.
Entity Type:Organization
Organization Name:ASSOCIATED PHYSICAL THERAPISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:304-523-4555
Mailing Address - Street 1:1426 6TH AVE
Mailing Address - Street 2:SUITE 100 CENTENNIAL BUILDING
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-2421
Mailing Address - Country:US
Mailing Address - Phone:304-523-4555
Mailing Address - Fax:304-525-1736
Practice Address - Street 1:1426 6TH AVE
Practice Address - Street 2:SUITE 100 CENTENNIAL BUILDING
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2421
Practice Address - Country:US
Practice Address - Phone:304-523-4555
Practice Address - Fax:304-525-1736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8790040300Medicaid