Provider Demographics
NPI:1730345695
Name:US PT MANAGED CARE INC
Entity type:Organization
Organization Name:US PT MANAGED CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:P
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:3413 COX RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-2001
Mailing Address - Country:US
Mailing Address - Phone:804-527-1460
Mailing Address - Fax:804-527-1463
Practice Address - Street 1:WEINSTEIN CTR
Practice Address - Street 2:SUITE 202
Practice Address - City:UNIVERSITY OF RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23173-0001
Practice Address - Country:US
Practice Address - Phone:804-527-1460
Practice Address - Fax:804-527-1463
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US PT MANAGED CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty