Healthcare Provider Details

I. General information

NPI: 1841969615
Provider Name (Legal Business Name): ON THE GO PHYSIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3M ST. PETER MT RD
ST. THOMAS VI
00803
US

IV. Provider business mailing address

9160 ESTATE THOMAS PMB 266
ST THOMAS VI
00802-3641
US

V. Phone/Fax

Practice location:
  • Phone: 340-643-9334
  • Fax:
Mailing address:
  • Phone: 340-643-9334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE MCALLISTER
Title or Position: OWNER
Credential: PT, DPT
Phone: 340-643-9334