Provider Demographics
NPI:1144937012
Name:ALIGN PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:ALIGN PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:WOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-412-8166
Mailing Address - Street 1:2030 S PATRICK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4400
Mailing Address - Country:US
Mailing Address - Phone:321-622-5707
Mailing Address - Fax:321-622-8557
Practice Address - Street 1:2030 S PATRICK DR STE 3
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4400
Practice Address - Country:US
Practice Address - Phone:321-412-8166
Practice Address - Fax:321-622-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
261QP2000XOtherNATIONAL UNIFORM CLAIM COMMITTEE