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General NPI Number Information
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NPI Number | 1497700512
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Entity Type | Organization
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Legal Business Name | REBOUND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 209 WARD CIR SUITE 103
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City | BRENTWOOD
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State | TN
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Zip | 37027-7579
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Country | US
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Telephone | 615-373-8100
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Fax | 615-309-9306
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Provider Business Mailing Address
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Address Line | 209 WARD CIR SUITE 103
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City | BRENTWOOD
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State | TN
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Zip | 37027-7579
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Country | US
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Telephone | 615-373-8100
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Fax | 615-309-9306
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RAYMOND MARK BAER
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Credential | P.T.
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Telephone | 615-373-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4919
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License Number State | TN
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