Provider Demographics
NPI:1982201844
Name:1ST CLASSEN PHYSICAL THERAPY , PLLC
Entity Type:Organization
Organization Name:1ST CLASSEN PHYSICAL THERAPY , PLLC
Other - Org Name:1ST CLASSEN PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:281-435-5732
Mailing Address - Street 1:23215 RED RIVER DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2031
Mailing Address - Country:US
Mailing Address - Phone:281-435-5732
Mailing Address - Fax:281-829-4567
Practice Address - Street 1:633 E FERNHURST DR STE 803
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1587
Practice Address - Country:US
Practice Address - Phone:281-435-5732
Practice Address - Fax:281-829-4567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty