MEDICARE: VOYAGER PHYSICAL THERAPY, INC.

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	PTH1624	AL

General Provider Information

NPI Number	:	1326108168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOYAGER PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	1424 CARRAWAY BLVD
Second Line	:	SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35234-1999
Country	:	US
Telephone Number	:	205-502-4557
Fax Number	:	205-502-4555

Provider Business Practice Location Address
First Line	:	1424 CARRAWAY BLVD
Second Line	:	SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35234-1999
Country	:	US
Telephone Number	:	205-502-4557
Fax Number	:	205-502-4555

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LANCE ERIC PEARSON
Credential	:
Telephone Number	:	205-502-4557

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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