Provider Demographics
NPI:1780272617
Name:MOBILIPT PLLC
Entity type:Organization
Organization Name:MOBILIPT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MARGERISON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:302-750-7179
Mailing Address - Street 1:1736 SEAGULL CT APT 404
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-4335
Mailing Address - Country:US
Mailing Address - Phone:301-750-7179
Mailing Address - Fax:571-464-6584
Practice Address - Street 1:1736 SEAGULL CT APT 404
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-4335
Practice Address - Country:US
Practice Address - Phone:301-750-7179
Practice Address - Fax:571-464-6584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy