Performance Physical Therapy Of Stafford, Llc
LBN: Performance Physical Therapy Of Stafford, Llc
Performance Physical Therapy Of Stafford, Llc is an health care organization with primary practice located at 2777 Jefferson Davis Hwy 109, Stafford VA 22554-8323. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Performance Physical Therapy Of Stafford, Llc can be contacted via phone (540) 318-8615, or through Blanton, Latasha R via phone (540) 327-1740.
Contact Information
Primary practice address
2777 Jefferson Davis Hwy 109
Stafford VA 22554-8323
Phone: (540) 318-8615
Fax: (540) 318-8619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305204166 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 2305204166 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2305204166 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 2305204166 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2305204166 | Virginia |
Profile Details
NPI number | 1083928949 |
---|---|
LBN Legal business name | Performance Physical Therapy Of Stafford, Llc |
DBA Doing business as | |
Authorized official | Blanton, Latasha R DPT |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 3rd, 2010 |
Last updated | Sep 17th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083928949 | NPPES |
Virginia | Other | VAA101671 | MEDICARE PTAN |
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