Provider Demographics
NPI:1851832182
Name:HOMETOWN PHYSICAL THERAPY HOLDING COMPANY, LLC
Entity Type:Organization
Organization Name:HOMETOWN PHYSICAL THERAPY HOLDING COMPANY, LLC
Other - Org Name:SPENCER PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORBY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:712-540-8849
Mailing Address - Street 1:20 W 6TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-3901
Mailing Address - Country:US
Mailing Address - Phone:712-580-5008
Mailing Address - Fax:712-546-1770
Practice Address - Street 1:20 W 6TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-3901
Practice Address - Country:US
Practice Address - Phone:712-580-5008
Practice Address - Fax:712-250-2415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty