Provider Demographics
NPI:1184267981
Name:RICK HAUPT PT INC
Entity type:Organization
Organization Name:RICK HAUPT PT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAUPT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:941-955-1239
Mailing Address - Street 1:2620 S TAMIAMI TRL FL 3
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-4517
Mailing Address - Country:US
Mailing Address - Phone:941-955-1239
Mailing Address - Fax:941-955-1089
Practice Address - Street 1:1630 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3108
Practice Address - Country:US
Practice Address - Phone:941-955-1239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy