Healthcare Provider Details
I. General information
NPI: 1568077394
Provider Name (Legal Business Name): THE THERAPY JUNCTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2020
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
307 GRAND AVE NW
FORT PAYNE AL
35967-2109
US
IV. Provider business mailing address
307 GRAND AVE NW
FORT PAYNE AL
35967-2109
US
V. Phone/Fax
- Phone: 256-601-3015
- Fax: 256-669-3585
- Phone: 256-630-2305
- Fax: 256-669-3585
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 224Z00000X |
| Taxonomy | Occupational Therapy Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225200000X |
| Taxonomy | Physical Therapy Assistant |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JESSICA
PAIGE
WATKINS-WRIGHT
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: DPT
Phone: 256-601-3015