Provider Demographics
NPI:1003913344
Name:PHYSIOTHERAPY ASSOCIATES INC
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DEPT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-685-7227
Mailing Address - Street 1:4524 SOUTHLAKE PKWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3270
Mailing Address - Country:US
Mailing Address - Phone:205-988-8542
Mailing Address - Fax:205-988-8498
Practice Address - Street 1:4524 SOUTHLAKE PKWY
Practice Address - Street 2:SUITE 6
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3270
Practice Address - Country:US
Practice Address - Phone:205-988-8542
Practice Address - Fax:205-988-8498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL014518Medicare Oscar/Certification