Provider Demographics
NPI:1831679885
Name:AGILIAS USA, INC
Entity Type:Organization
Organization Name:AGILIAS USA, INC
Other - Org Name:RESULTS PHYSIOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-373-1350
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:102 WONDER WORLD DR STE 401
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6072
Practice Address - Country:US
Practice Address - Phone:512-262-9578
Practice Address - Fax:512-782-2989
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGILIAS USA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-20
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy