Provider Demographics
NPI:1841243573
Name:EXCEL PHYSICAL THERAPY LIMITED
Entity Type:Organization
Organization Name:EXCEL PHYSICAL THERAPY LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:P
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1300 W SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2447
Mailing Address - Country:US
Mailing Address - Phone:713-297-7000
Mailing Address - Fax:713-297-7090
Practice Address - Street 1:809 S CHUGACH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6605
Practice Address - Country:US
Practice Address - Phone:713-297-7000
Practice Address - Fax:713-297-7090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXCEL PHYSICAL THERAPY LIMITED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-17
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK160567Medicare PIN