Provider Demographics
NPI:1184885741
Name:BISHOP & ASSOCIATES PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:BISHOP & ASSOCIATES PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS
Authorized Official - Phone:760-384-4441
Mailing Address - Street 1:730 N NORMA ST
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3521
Mailing Address - Country:US
Mailing Address - Phone:760-384-4441
Mailing Address - Fax:760-384-4442
Practice Address - Street 1:730 N NORMA ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3521
Practice Address - Country:US
Practice Address - Phone:760-384-4441
Practice Address - Fax:760-384-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy