Provider Demographics
NPI:1881471068
Name:BISHOP PHYSICAL THERAPY & PELVIC HEALTH
Entity type:Organization
Organization Name:BISHOP PHYSICAL THERAPY & PELVIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTAN
Authorized Official - Middle Name:BISHOP
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:334-456-9578
Mailing Address - Street 1:126 ALABAMA AVE W
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-3100
Mailing Address - Country:US
Mailing Address - Phone:334-564-7092
Mailing Address - Fax:334-564-7075
Practice Address - Street 1:126 ALABAMA AVE W
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-3100
Practice Address - Country:US
Practice Address - Phone:334-564-7092
Practice Address - Fax:334-564-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty