Healthcare Provider Details

I. General information

NPI: 1124355599
Provider Name (Legal Business Name): DOROTHY M SIA PHYSICIALTHERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DOROTHY SIA MORCILLO PHYSICIAL THERAPIST

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7614 HWY 70 S STE 603
NASHVILLE TN
37221-1746
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 615-636-8132
  • Fax:
Mailing address:
  • Phone: 423-541-5846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT0000002816
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: