Physical Therapy Center Two, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

P9417 Issued in NC

Legal business name

PHYSICAL THERAPY CENTER TWO, LLC

Practice address

2400 South Blvd.
Charlotte, NC 28203

Phone

(704) 283-6700

Fax

(704) 283-6713

NPI assigned

Nov 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Todd Douglas Koos, PTNPI 1538278189

Title

Owner

Phone

(704) 502-9205

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Center, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Koos

  • Physical Therapist
  • Monroe, NC
  • NPI 1538278189
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1861934010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DICKERSON BLVD",
            "address_2": "SUITE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102885",
            "telephone_number": "704-283-6700",
            "fax_number": "704-283-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTH BLVD.",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28203",
            "telephone_number": "704-283-6700",
            "fax_number": "704-283-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER TWO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "KOOS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-502-9205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phlebohealthacademy
• Phoenix Health Services LLC
• Phoenix House, Inc
• D'Asia Mackenzie Phronebarger, LCMHC-A
• Cindy Phung
• Physical Therapy Consultants Inc
• Physical Therapy for the Carolinas
• Physician Home Care
• Physician Wellness Professional Association
• Physiofocus Orthopedic and Sports Therapy LLC

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.