Provider Demographics
NPI:1932302122
Name:SUMMIT PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:SUMMIT PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ARSENAULT
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:828-808-2652
Mailing Address - Street 1:206 E STATE ST
Mailing Address - Street 2:STE. #3
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-3525
Mailing Address - Country:US
Mailing Address - Phone:828-357-8324
Mailing Address - Fax:828-357-8325
Practice Address - Street 1:206 E STATE ST
Practice Address - Street 2:STE. #3
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3525
Practice Address - Country:US
Practice Address - Phone:828-357-8324
Practice Address - Fax:828-357-8325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10043225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty