MEDICARE: MR. MICHAEL DREW MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6273	AZ
2	225100000X	Physical Therapist	16903	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194753848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL DREW MPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-702-4389
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 NEW SHACKLE ISLAND RD STE 210
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2489
Country	:	US
Telephone Number	:	615-507-1552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	12/17/2025

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