Healthcare Provider Details

I. General information

NPI: 1932537602
Provider Name (Legal Business Name): EXCEL PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PARK DR
EAST PALESTINE OH
44413-1850
US

IV. Provider business mailing address

7735 STATE ROUTE 45 P.O. BOX 366
LISBON OH
44432-8342
US

V. Phone/Fax

Practice location:
  • Phone: 330-424-9033
  • Fax:
Mailing address:
  • Phone: 330-424-9033
  • Fax: 330-424-9053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT006697
License Number StateOH

VIII. Authorized Official

Name: MR. GEORGE ALAN SUMMERS
Title or Position: OWNER/PRESIDENT
Credential: PT, MPT, OCS, C-IDN
Phone: 330-868-4362