Provider Demographics
NPI:1972060937
Name:TRITTSCHUH PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:TRITTSCHUH PHYSICAL THERAPY INC
Other - Org Name:TRITTSCHUH PHYSICAL THERAPY PIERSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:386-749-0612
Mailing Address - Street 1:163 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:PIERSON
Mailing Address - State:FL
Mailing Address - Zip Code:32180-2200
Mailing Address - Country:US
Mailing Address - Phone:386-749-0612
Mailing Address - Fax:386-749-0433
Practice Address - Street 1:163 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:PIERSON
Practice Address - State:FL
Practice Address - Zip Code:32180-2200
Practice Address - Country:US
Practice Address - Phone:386-749-0612
Practice Address - Fax:386-749-0433
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRITTSCHUH PHYSICAL THERAPY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-26
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1083762413OtherNPPES