Provider Demographics
NPI:1821579632
Name:NXT LEVEL PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:NXT LEVEL PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:KARNOUPAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:304-374-0921
Mailing Address - Street 1:931 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:WELLSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26070-1619
Mailing Address - Country:US
Mailing Address - Phone:304-737-7299
Mailing Address - Fax:304-737-7356
Practice Address - Street 1:931 CHARLES ST
Practice Address - Street 2:
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1619
Practice Address - Country:US
Practice Address - Phone:304-737-7299
Practice Address - Fax:304-737-7356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty