Provider Demographics
NPI:1972025963
Name:ABILIFIT PEDIATRIC REHAB
Entity Type:Organization
Organization Name:ABILIFIT PEDIATRIC REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRAPIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:832-607-8689
Mailing Address - Street 1:23211 PRAIRIE PEBBLE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7593
Mailing Address - Country:US
Mailing Address - Phone:281-693-6821
Mailing Address - Fax:281-693-6821
Practice Address - Street 1:23211 PRAIRIE PEBBLE CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7593
Practice Address - Country:US
Practice Address - Phone:281-693-6821
Practice Address - Fax:281-693-6821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1155508261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy