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General NPI Number Information
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NPI Number | 1740114305
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Entity Type | Organization
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Legal Business Name | STRIDE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 679 WISTERIA WAY
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City | GARDENDALE
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State | AL
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Zip | 35071-3680
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Country | US
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Telephone | 954-501-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 679 WISTERIA WAY
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City | GARDENDALE
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State | AL
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Zip | 35071-3680
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Country | US
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Telephone | 954-501-1191
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST OWNER
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Name | MR. LEARY-DEAN D MCINTOSH
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Credential | MSPT
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Telephone | 954-501-1191
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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 |
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License Number State |
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