Provider Demographics
NPI:1053938068
Name:FRESH START PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:FRESH START PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:610-547-7154
Mailing Address - Street 1:310 BEWLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5316
Mailing Address - Country:US
Mailing Address - Phone:267-279-9086
Mailing Address - Fax:267-651-9451
Practice Address - Street 1:310 BEWLEY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5316
Practice Address - Country:US
Practice Address - Phone:267-279-9086
Practice Address - Fax:267-651-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty