Provider Demographics
NPI:1740616879
Name:NEXT STEP PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:NEXT STEP PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-869-8743
Mailing Address - Street 1:18 RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1547
Mailing Address - Country:US
Mailing Address - Phone:215-869-8743
Mailing Address - Fax:
Practice Address - Street 1:3300 GRANT AVE
Practice Address - Street 2:UNIT 19C
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2614
Practice Address - Country:US
Practice Address - Phone:215-869-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty