Provider Demographics
NPI:1457955023
Name:ORTHOPELVIC PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ORTHOPELVIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHOOIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:404-444-3603
Mailing Address - Street 1:10 PIDGEON HILL DR STE 30
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6153
Mailing Address - Country:US
Mailing Address - Phone:404-444-3603
Mailing Address - Fax:
Practice Address - Street 1:10 PIDGEON HILL DR STE 30
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6153
Practice Address - Country:US
Practice Address - Phone:571-313-0804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy