Provider Demographics
NPI:1992032346
Name:PT MEDICAL, INC
Entity Type:Organization
Organization Name:PT MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-320-1023
Mailing Address - Street 1:250 PRESIDENT ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4663
Mailing Address - Country:US
Mailing Address - Phone:443-320-1023
Mailing Address - Fax:443-320-1030
Practice Address - Street 1:5731 W SLAUSON AVE STE 150
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4232
Practice Address - Country:US
Practice Address - Phone:443-320-1023
Practice Address - Fax:443-320-1030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROGRESSUS THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty