MEDICARE: PHYSIOTHERAPY ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1255439410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSIOTHERAPY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	3427 COLONNADE PKWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2356
Country	:	US
Telephone Number	:	205-957-1465
Fax Number	:	205-957-1468

Provider Business Practice Location Address
First Line	:	3427 COLONNADE PKWY
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-2356
Country	:	US
Telephone Number	:	205-957-1465
Fax Number	:	205-957-1468

Authorized Official
Title or Position	:	CONTRACTING
Name	:	ROB ZIGENFUS
Credential	:
Telephone Number	:	901-685-7227

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/17/2007

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