Provider Demographics
NPI:1720786791
Name:FLIPPO PHYSIO, LLC
Entity Type:Organization
Organization Name:FLIPPO PHYSIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLI
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLIPPO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:907-203-4331
Mailing Address - Street 1:8540 GOLDEN ST APT 6
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-5244
Mailing Address - Country:US
Mailing Address - Phone:907-203-4331
Mailing Address - Fax:
Practice Address - Street 1:8540 GOLDEN ST APT 6
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-5244
Practice Address - Country:US
Practice Address - Phone:907-203-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty