Provider Demographics
NPI:1134263122
Name:ALL THERAPY
Entity type:Organization
Organization Name:ALL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:LORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, DPT
Authorized Official - Phone:202-271-6333
Mailing Address - Street 1:PO BOX 856
Mailing Address - Street 2:SUITE C
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-0856
Mailing Address - Country:US
Mailing Address - Phone:302-376-5578
Mailing Address - Fax:302-376-5580
Practice Address - Street 1:212 CARTER DR
Practice Address - Street 2:SUITE C
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5837
Practice Address - Country:US
Practice Address - Phone:302-376-5578
Practice Address - Fax:302-376-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD213862251X0800X
DEJ1000-25532251X0800X
DC8705272251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5527OtherELDER HEALTH
MD5527OtherELDER HEALTH
MDN220OtherBCBS PHYSICAL THERAPY
DEN220OtherBCBS PHYSICAL THERAPY
DE5527OtherELDER HEALTH
DCN220OtherBCBS PHYSICAL THERAPY
DEN220OtherBCBS PHYSICAL THERAPY
DEQ64451Medicare UPIN
DEG02248Medicare PIN
DC5527OtherELDER HEALTH
DE5527OtherELDER HEALTH