Provider Demographics
NPI:1831594829
Name:APEX PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:APEX PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:BISHNOI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:860-257-3779
Mailing Address - Street 1:825 CROMWELL AVE STE Q
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3013
Mailing Address - Country:US
Mailing Address - Phone:860-257-3779
Mailing Address - Fax:860-257-3780
Practice Address - Street 1:825 CROMWELL AVE STE Q
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3013
Practice Address - Country:US
Practice Address - Phone:860-257-3779
Practice Address - Fax:860-257-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0043892251S0007X, 2251X0800X, 261Q00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty