Healthcare Provider Details

I. General information

NPI: 1912985953
Provider Name (Legal Business Name): PHYSICAL REHAB INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 ELM HILL PIKE SUITE 100
NASHVILLE TN
37210-4523
US

IV. Provider business mailing address

1451 ELM HILL PIKE SUITE 100
NASHVILLE TN
37210-4523
US

V. Phone/Fax

Practice location:
  • Phone: 615-366-6090
  • Fax: 615-366-6098
Mailing address:
  • Phone: 615-366-6090
  • Fax: 615-366-6098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS H GORE
Title or Position: OWNER
Credential:
Phone: 615-366-6090