Provider Demographics
NPI: | 1205551173 |
---|---|
Name: | BABIES AND BEYOND PHYSICAL THERAPY LLC |
Entity type: | Organization |
Organization Name: | BABIES AND BEYOND PHYSICAL THERAPY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAGRUTI |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HAMBIR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PT, MHS |
Authorized Official - Phone: | 317-721-6362 |
Mailing Address - Street 1: | 7778 MCGINNIS FERRY RD # 263 |
Mailing Address - Street 2: | |
Mailing Address - City: | SUWANEE |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30024-1622 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5620 COWLES CIR |
Practice Address - Street 2: | |
Practice Address - City: | SUWANEE |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30024-4449 |
Practice Address - Country: | US |
Practice Address - Phone: | 317-721-6362 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-10-04 |
Last Update Date: | 2022-10-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Single Specialty |