Provider Demographics
NPI:1245313147
Name:ROBERT FLEMING J.R. P.T., INC.
Entity type:Organization
Organization Name:ROBERT FLEMING J.R. P.T., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:II
Authorized Official - Credentials:PT
Authorized Official - Phone:251-602-0745
Mailing Address - Street 1:4519 CYPRESS BUSINESS PARK DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619-9550
Mailing Address - Country:US
Mailing Address - Phone:251-602-0745
Mailing Address - Fax:251-602-8641
Practice Address - Street 1:4519 CYPRESS BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-9550
Practice Address - Country:US
Practice Address - Phone:251-602-0745
Practice Address - Fax:251-602-8641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALJ486Medicare PIN