Provider Demographics
NPI:1952681843
Name:AMERICAN PHYSICAL THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:AMERICAN PHYSICAL THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAREED
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-282-2218
Mailing Address - Street 1:329 FLOYD DR
Mailing Address - Street 2:SUITE D2
Mailing Address - City:CARROLLTON
Mailing Address - State:KY
Mailing Address - Zip Code:41008-8258
Mailing Address - Country:US
Mailing Address - Phone:502-732-0313
Mailing Address - Fax:502-732-0315
Practice Address - Street 1:329 FLOYD DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:KY
Practice Address - Zip Code:41008-8258
Practice Address - Country:US
Practice Address - Phone:812-282-2218
Practice Address - Fax:812-282-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)