Provider Demographics
NPI:1447898358
Name:JOY PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:JOY PHYSICAL THERAPY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST SPECIALIST, OWNE
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUPE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, DIP MDT
Authorized Official - Phone:651-800-6978
Mailing Address - Street 1:1648 RIVER BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1719
Mailing Address - Country:US
Mailing Address - Phone:651-800-6978
Mailing Address - Fax:
Practice Address - Street 1:1648 RIVER BLUFF CT
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1719
Practice Address - Country:US
Practice Address - Phone:651-800-6978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy