Provider Demographics
NPI:1326071408
Name:PHYSIOTHERAPY ASSOCIATES INC
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE
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 1:607 W DUE WEST AVE
Mailing Address - Street 2:SUITE 123
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4431
Mailing Address - Country:US
Mailing Address - Phone:615-355-5640
Mailing Address - Fax:615-450-4051
Practice Address - Street 1:607 W DUE WEST AVE
Practice Address - Street 2:SUITE 123
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4431
Practice Address - Country:US
Practice Address - Phone:615-860-2325
Practice Address - Fax:615-868-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446536Medicare Oscar/Certification