| Organization Name: | ONMARK PHYSICAL THERAPY, LLC |
| NPI Number: | 1285099051 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS) |
| Mailing Address: | 4500 Montevallo Rd Ste B108 Irondale |
| State: | AL US |
| Postal Code: | 352103129 |
| Phone Number: | 2059570870 |
| Fax Number: | 2059570872 |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |