Healthcare Provider Details

I. General information

NPI: 1376282590
Provider Name (Legal Business Name): GADSDEN PELVIC REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2022
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 LUMBLEY RD
RAINBOW CITY AL
35906-9026
US

IV. Provider business mailing address

2425 LUMBLEY RD
RAINBOW CITY AL
35906-9026
US

V. Phone/Fax

Practice location:
  • Phone: 256-467-3057
  • Fax: 256-255-2184
Mailing address:
  • Phone: 256-467-3057
  • Fax: 256-255-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARY JAZMA DOBBINS
Title or Position: PRESIDENT, DPT
Credential:
Phone: 256-689-5129