Provider Demographics
NPI:1053981753
Name:PHILO PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:PHILO PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CRASSAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-271-0654
Mailing Address - Street 1:242 MERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19543-8700
Mailing Address - Country:US
Mailing Address - Phone:240-271-0654
Mailing Address - Fax:
Practice Address - Street 1:242 MERWOOD DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:PA
Practice Address - Zip Code:19543-8700
Practice Address - Country:US
Practice Address - Phone:240-271-0654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy