Provider Demographics
NPI:1912396250
Name:THERAPY SOUTH BESSEMER LLC
Entity Type:Organization
Organization Name:THERAPY SOUTH BESSEMER LLC
Other - Org Name:THERAPY SOUTH BESSEMER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENROLLMENT MGR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-745-3651
Mailing Address - Street 1:2807 GREYSTONE COMM BLVD
Mailing Address - Street 2:SUITE 34
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-9601
Mailing Address - Country:US
Mailing Address - Phone:205-745-3651
Mailing Address - Fax:205-408-4209
Practice Address - Street 1:1501 4TH AVE SW
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6016
Practice Address - Country:US
Practice Address - Phone:205-477-1501
Practice Address - Fax:205-477-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty