Provider Demographics
NPI:1053192369
Name:KARRAS PT LLC
Entity type:Organization
Organization Name:KARRAS PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-215-9493
Mailing Address - Street 1:3937 S ACCESS RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-3612
Mailing Address - Country:US
Mailing Address - Phone:586-215-9493
Mailing Address - Fax:941-666-6986
Practice Address - Street 1:3937 S ACCESS RD UNIT B
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-3612
Practice Address - Country:US
Practice Address - Phone:586-215-9493
Practice Address - Fax:941-666-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty