Provider Demographics
NPI:1457560567
Name:PHYSIOTHERAPY ASSOCIATES
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER FO PAYOR CONTRACTING
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZIGENFUS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-685-7227
Mailing Address - Street 1:545 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1064
Mailing Address - Country:US
Mailing Address - Phone:812-885-0015
Mailing Address - Fax:812-885-0016
Practice Address - Street 1:545 WILLOW ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1064
Practice Address - Country:US
Practice Address - Phone:812-885-0015
Practice Address - Fax:812-885-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy