Provider Demographics
NPI:1821545831
Name:LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:MEMPHIS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:6600 STAGE RD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2866
Mailing Address - Country:US
Mailing Address - Phone:901-371-0732
Mailing Address - Fax:901-371-0859
Practice Address - Street 1:11680 HIGHWAY 51 S
Practice Address - Street 2:SUITE A
Practice Address - City:ATOKA
Practice Address - State:TN
Practice Address - Zip Code:38004-7604
Practice Address - Country:US
Practice Address - Phone:901-837-0994
Practice Address - Fax:901-837-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty