Healthcare Provider Details

I. General information

NPI: 1861966640
Provider Name (Legal Business Name): AGILITAS USA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 SPRING STUEBNER RD STE 164
SPRING TX
77389-5286
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 832-430-4895
  • Fax: 832-602-2649
Mailing address:
  • Phone: 423-238-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: THOMAS BRYAN BARGANIER
Title or Position: CFO
Credential:
Phone: 205-536-7602