Provider Demographics
NPI:1932644200
Name:ALLY PHYSICAL THERAPYLLC
Entity Type:Organization
Organization Name:ALLY PHYSICAL THERAPYLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EPTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-919-7027
Mailing Address - Street 1:1401 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4951
Mailing Address - Country:US
Mailing Address - Phone:484-919-7027
Mailing Address - Fax:
Practice Address - Street 1:2089 E HIGH ST STE A
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3269
Practice Address - Country:US
Practice Address - Phone:484-624-5594
Practice Address - Fax:484-644-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT-013254-L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist