Provider Demographics
| NPI: | 1518652015 |
|---|---|
| Name: | APEX REHABILITATION AND FITNESS, PLLC |
| Entity type: | Organization |
| Organization Name: | APEX REHABILITATION AND FITNESS, PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PHYSICAL THERAPIST |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LAURA |
| Authorized Official - Middle Name: | NEUMAN |
| Authorized Official - Last Name: | PETERSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DPT |
| Authorized Official - Phone: | 903-241-6582 |
| Mailing Address - Street 1: | 511 LAKE RD STE 103 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BELTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 76513-1405 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 903-241-6582 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 511 LAKE RD STE 103 |
| Practice Address - Street 2: | |
| Practice Address - City: | BELTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 76513-1405 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 903-241-6582 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-04-10 |
| Last Update Date: | 2023-04-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |