Healthcare Provider Details

I. General information

NPI: 1932644200
Provider Name (Legal Business Name): ALLY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2089 E HIGH ST STE A
POTTSTOWN PA
19464-3269
US

IV. Provider business mailing address

2089 E HIGH ST STE A
POTTSTOWN PA
19464-3269
US

V. Phone/Fax

Practice location:
  • Phone: 484-624-5594
  • Fax: 484-644-3933
Mailing address:
  • Phone: 484-624-5594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT-013254-L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBERT EPTING
Title or Position: OWNER
Credential:
Phone: 484-919-7027