=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205429107
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WHOLE STRENGTH PHYSICAL THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2021
-----------------------------------------------------
Last Update Date | 02/11/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 427 TWO RIVERS DR
-----------------------------------------------------
City | TROY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22974-3981
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-851-2928
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 427 TWO RIVERS DR
-----------------------------------------------------
City | TROY
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22974-3981
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-851-2928
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ALAN BARB
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 304-851-2928
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------