Provider Demographics
NPI:1902822562
Name:APEX THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:APEX THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP
Authorized Official - Phone:574-936-9600
Mailing Address - Street 1:28873 REDFIELD ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-5935
Mailing Address - Country:US
Mailing Address - Phone:800-323-3007
Mailing Address - Fax:888-361-0673
Practice Address - Street 1:440 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-1646
Practice Address - Country:US
Practice Address - Phone:574-936-9600
Practice Address - Fax:574-936-9612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INDE 0517OtherRR MEDICARE
INDE 0517OtherRR MEDICARE
ID216260Medicare ID - Type UnspecifiedMEDICARE PT GROUP NUMBER
IN=========OtherTAX EIN