Healthcare Provider Details

I. General information

NPI: 1881471068
Provider Name (Legal Business Name): BISHOP PHYSICAL THERAPY & PELVIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 ALABAMA AVE W
THOMASVILLE AL
36784-3100
US

IV. Provider business mailing address

126 ALABAMA AVE W
THOMASVILLE AL
36784-3100
US

V. Phone/Fax

Practice location:
  • Phone: 334-564-7092
  • Fax: 334-564-7075
Mailing address:
  • Phone: 334-564-7092
  • Fax: 334-564-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTAN BISHOP PHILLIPS
Title or Position: OWNER/DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 334-456-9578