Provider Demographics
NPI:1457061699
Name:NEIGHBORHOOD PT, LLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:941-447-4171
Mailing Address - Street 1:4776 OVERBURY PL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-9227
Mailing Address - Country:US
Mailing Address - Phone:941-447-4171
Mailing Address - Fax:
Practice Address - Street 1:4776 OVERBURY PL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34241-9227
Practice Address - Country:US
Practice Address - Phone:941-447-4171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY097UOtherBCBS