| Southern Physical Therapy, Llc | |
|
1810 Shady Brook St, Suite 3, Columbia, TN 38401-3993 | |
| (931) 388-8500 | |
| Not Available |
| Full Name | Southern Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1810 Shady Brook St, Columbia, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720162662 | NPI | - | NPPES |
| 3723207 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6832 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | PT2044 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Physical Therapy, Llc 1810 Shady Brook St, Suite 3, Columbia, TN 38401-3993 Ph: (931) 388-8500 | Southern Physical Therapy, Llc 1810 Shady Brook St, Suite 3, Columbia, TN 38401-3993 Ph: (931) 388-8500 |
Josiedith Castaneda, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Rosewood Dr, Columbia, TN 38401 Phone: 931-388-6573 | |
Robert Allen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1050 N James M Campbell Blvd Ste 110, Columbia, TN 38401 Phone: 931-381-2663 Fax: 931-490-1369 | |
Mrs. Rachna Shah, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 627 S James Campbell Blvd, Suite B, Columbia, TN 38401 Phone: 931-398-2288 Fax: 931-218-2841 | |
Abby Pratt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2120 Brookmeade Dr Ste H, Columbia, TN 38401 Phone: 931-388-5990 Fax: 931-388-9829 | |
Mrs. Sarah Louise Witt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Berrywood Dr, Columbia, TN 38401 Phone: 931-388-5990 Fax: 931-388-9829 | |
Brent Arrington Barker, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 N James Campbell Blvd, Columbia, TN 38401 Phone: 931-388-0620 Fax: 931-388-5533 | |
Ms. Julie Ann Sacco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 Fax: 931-380-4108 |