Provider Demographics
NPI:1164240560
Name:ATLAS THERAPY NOW
Entity type:Organization
Organization Name:ATLAS THERAPY NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:SEAN MICHAEL
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:702-800-1018
Mailing Address - Street 1:9328 OUTER BANKS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-0195
Mailing Address - Country:US
Mailing Address - Phone:702-800-1018
Mailing Address - Fax:702-901-0350
Practice Address - Street 1:9328 OUTER BANKS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0195
Practice Address - Country:US
Practice Address - Phone:702-800-1018
Practice Address - Fax:702-901-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty