Provider Demographics
NPI:1760641294
Name:APEX PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:APEX PHYSICAL THERAPY INC.
Other - Org Name:APEX PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NISHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RATNANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:770-814-0887
Mailing Address - Street 1:4375 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6085
Mailing Address - Country:US
Mailing Address - Phone:770-814-2986
Mailing Address - Fax:770-814-2987
Practice Address - Street 1:4375 JOHNS CREEK PKWY
Practice Address - Street 2:SUITE 320
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6085
Practice Address - Country:US
Practice Address - Phone:770-814-2986
Practice Address - Fax:770-814-2987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004987225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty