Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PHYSICAL THERAPY CENTER,LLC
Active
Organization
PHYSICAL THERAPY CENTER,LLC
Active
Other names
Ambassador Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD DOUGLAS KOOS PT (OWNER/PHYSICAL THERAPIST)
(704) 502-9205
Entity
Organization
Contact information
Practice address
1730 DICKERSON BLVD STE D, MONROE, NC 28110-2884
(704) 283-6700
(704) 283-6700
Mailing address
1730 DICKERSON BLVD STE D, MONROE, NC 28110-2884
(704) 283-6700
(704) 283-6713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9417
NC
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538278189
PERSONAL NPI
NC
Enumeration date
05/06/2009
Last updated
07/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up