Provider Demographics
NPI:1841393741
Name:FLANNERY PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:FLANNERY PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:PHYSICAL THERAPY PLUS (PBURG)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
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 1:200 ROUTE 57
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-387-1277
Mailing Address - Fax:908-387-1280
Practice Address - Street 1:200 ROUTE 57
Practice Address - Street 2:SUITE 1
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-387-1277
Practice Address - Fax:908-387-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ316676Medicare Oscar/Certification