Provider Demographics
NPI:1710644588
Name:HOPEMEDIC PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:HOPEMEDIC PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PTA
Authorized Official - Prefix:
Authorized Official - First Name:OLAYIWOLA
Authorized Official - Middle Name:EBENEZER
Authorized Official - Last Name:ADEBISI
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:281-908-5490
Mailing Address - Street 1:14819 HORSE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7059
Mailing Address - Country:US
Mailing Address - Phone:281-908-5490
Mailing Address - Fax:
Practice Address - Street 1:14819 HORSE CREEK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7059
Practice Address - Country:US
Practice Address - Phone:281-908-5490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty