Provider Demographics
NPI:1922619733
Name:ADVANCING HEALTH PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ADVANCING HEALTH PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:251-209-1157
Mailing Address - Street 1:7921 TANNER WILLIAMS RD STE J
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-8303
Mailing Address - Country:US
Mailing Address - Phone:251-209-1157
Mailing Address - Fax:
Practice Address - Street 1:7921 TANNER WILLIAMS RD STE J
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-8303
Practice Address - Country:US
Practice Address - Phone:251-209-1157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy