Provider Demographics
NPI:1770266892
Name:NEXT LEVEL PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Entity type:Organization
Organization Name:NEXT LEVEL PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARTINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:814-937-3188
Mailing Address - Street 1:1 CLARENDON LN
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-3112
Mailing Address - Country:US
Mailing Address - Phone:814-937-3188
Mailing Address - Fax:843-604-0269
Practice Address - Street 1:1 CLARENDON LN
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-3112
Practice Address - Country:US
Practice Address - Phone:814-937-3188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty