Provider Demographics
NPI:1235977414
Name:PURPLE PHYSICAL THERAPY & WELLNESS LLC
Entity type:Organization
Organization Name:PURPLE PHYSICAL THERAPY & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERON
Authorized Official - Middle Name:
Authorized Official - Last Name:DSOUZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:412-616-0975
Mailing Address - Street 1:19 RISING RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-4310
Mailing Address - Country:US
Mailing Address - Phone:412-616-0975
Mailing Address - Fax:
Practice Address - Street 1:19 RISING RD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-4310
Practice Address - Country:US
Practice Address - Phone:412-616-0975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty