Organization Name: | SUMMIT PHYSICAL THERAPY, PLLC |
NPI Number: | 1174578058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON A GOUMAS (MANAGING MEMBER) |
Mailing Address: | 126 Professional Ave Winchester |
State: | KY US |
Postal Code: | 403911116 |
Phone Number: | 8597373994 |
Fax Number: | 8597373223 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |