| Therapy South Gardendale Llc | |
|
1011 Main St, Gardendale, AL 35071-5401 | |
| (205) 651-4350 | |
| Not Available |
| Full Name | Therapy South Gardendale Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1011 Main St, Gardendale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407569346 | NPI | - | NPPES |
| 2056514350 | Other | AL | PHONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Robert Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538701487 PECOS PAC ID: 5294067633 Enrollment ID: I20191104002438 |
| Provider Name | Zachary Clemens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619537065 PECOS PAC ID: 6608102660 Enrollment ID: I20221027000087 |
| Provider Name | Nicholas Bagwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679337893 PECOS PAC ID: 0749625481 Enrollment ID: I20240304002085 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy South Gardendale Llc 2823 Greystone Commercial Blvd, Hoover, AL 35242-2660 Ph: (205) 745-3660 | Therapy South Gardendale Llc 1011 Main St, Gardendale, AL 35071-5401 Ph: (205) 651-4350 |
Drayer Physical Therapy-alabama, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 651 Main St, Suite 119, Gardendale, AL 35071 Phone: 205-608-3113 Fax: 205-608-3036 | |
Braxton Edward Clifton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 651 Main St Ste 119, Gardendale, AL 35071 Phone: 205-608-3113 Fax: 205-608-3036 | |
Phillip Dimino Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Fieldstown Rd, Gardendale, AL 35071 Phone: 205-418-1482 | |
Ms. Cynthia Layne Johnson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 Dean Dr, Gardendale, AL 35071 Phone: 205-631-8709 | |
Katherine Drake Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2215 Decatur Hwy Ste 125, Gardendale, AL 35071 Phone: 205-285-8790 Fax: 205-285-8791 | |
Mr. Chris M Allison, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 592 Fieldstown Rd Ste 108, Gardendale, AL 35071 Phone: 205-608-3606 | |
Mr. Kwasi Asare-acquah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 Main St, Suite 119, Gardendale, AL 35071 Phone: 205-608-3113 Fax: 205-608-3036 |