Healthcare Provider Details

I. General information

NPI: 1962715359
Provider Name (Legal Business Name): ATLAS THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 ENTERPRISE DRIVE SUITE 200
STATE COLLEGE PA
16801
US

IV. Provider business mailing address

3075 ENTERPRISE DRIVE SUITE 200
STATE COLLEGE PA
16801
US

V. Phone/Fax

Practice location:
  • Phone: 814-308-8482
  • Fax: 814-308-8449
Mailing address:
  • Phone: 814-308-8482
  • Fax: 814-308-8449

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 Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. JUSTIN W KURPEIKIS
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 724-612-9906