Provider Demographics
NPI:1821513888
Name:ADAPT PHYSICAL THERAPY, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ADAPT PHYSICAL THERAPY, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-999-1663
Mailing Address - Street 1:1276 AUTO PARK WAY STE D130
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-2295
Mailing Address - Country:US
Mailing Address - Phone:858-255-1772
Mailing Address - Fax:
Practice Address - Street 1:1276 AUTO PARK WAY STE D130
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-2295
Practice Address - Country:US
Practice Address - Phone:858-255-1772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy