MEDICARE: PHYSIOTHERAPY ASSOCIATES 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1609943216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	5146 STAGE RD
Second Line	:	SUITE 102
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3164
Country	:	US
Telephone Number	:	901-380-2727
Fax Number	:	901-380-2722

Provider Business Practice Location Address
First Line	:	5146 STAGE RD
Second Line	:	SUITE 102
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3164
Country	:	US
Telephone Number	:	901-380-2727
Fax Number	:	901-380-2722

Authorized Official
Title or Position	:	CFO
Name	:	DENNIS FITZPATRICK
Credential	:
Telephone Number	:	610-644-7824

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	11/30/2007

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