Provider Demographics
NPI:1972299881
Name:ALIGN PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:ALIGN PHYSICAL THERAPY, INC.
Other - Org Name:ALIGN PHYSICAL THERAPY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-622-5707
Mailing Address - Street 1:8000 RON BEATTY BLVD STE A-5
Mailing Address - Street 2:
Mailing Address - City:MICCO
Mailing Address - State:FL
Mailing Address - Zip Code:32976-7473
Mailing Address - Country:US
Mailing Address - Phone:321-622-5707
Mailing Address - Fax:321-622-8557
Practice Address - Street 1:8000 RON BEATTY BLVD STE A-5
Practice Address - Street 2:
Practice Address - City:MICCO
Practice Address - State:FL
Practice Address - Zip Code:32976-7473
Practice Address - Country:US
Practice Address - Phone:321-622-5707
Practice Address - Fax:321-622-8557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALIGN PHYSICAL THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty