Basic Information
| Provider Information | |||||||||
| NPI: | 1467405019 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVANCED PHYSICAL THERAPY SOLUTIONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 EXECUTIVE PL | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283055390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104235550 | ||||||||
| FaxNumber: | 9104235552 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 EXECUTIVE PL | ||||||||
| Address2: | |||||||||
| City: | FAYETTEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283055390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104235550 | ||||||||
| FaxNumber: | 9104235552 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 03/16/2022 | ||||||||
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| AuthorizedOfficialLastName: | SCHINDLER | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9104235550 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
| NPICertificationDate: | 03/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 016J6 | 01 | NC | BLUE CROSS BLUE SHIELD NC | OTHER | 501889202 | 01 | NC | TRICARE | OTHER | 125357800 | 01 | NC | US DEPT OF LABOR | OTHER |