Provider Demographics
NPI:1629675319
Name:PREMIER PHYSICAL THERAPY CONSULTING
Entity Type:Organization
Organization Name:PREMIER PHYSICAL THERAPY CONSULTING
Other - Org Name:PTTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:CASEY
Authorized Official - Last Name:WORKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:270-305-1669
Mailing Address - Street 1:751B LYNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5029
Mailing Address - Country:US
Mailing Address - Phone:270-305-1669
Mailing Address - Fax:
Practice Address - Street 1:751B LYNWOOD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-5029
Practice Address - Country:US
Practice Address - Phone:270-305-1669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty