Provider Demographics
NPI:1912237439
Name:HM PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:HM PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:818-522-4760
Mailing Address - Street 1:21240 MAYAN DR
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-1476
Mailing Address - Country:US
Mailing Address - Phone:818-522-4760
Mailing Address - Fax:646-514-3467
Practice Address - Street 1:21240 MAYAN DR
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-1476
Practice Address - Country:US
Practice Address - Phone:818-522-4760
Practice Address - Fax:646-514-3467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27940251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health