MEDICARE: SYDNEY DENSEL DPT

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	225100000X	Physical Therapist	PTH12528	AL
2	225100000X	Physical Therapist	CP050853T	GA

General Provider Information

NPI Number	:	1598635575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY DENSEL DPT

Provider Business Mailing Address
First Line	:	2823 GREYSTONE COMMERCIAL BLVD
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-2660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6053 VETERANS PKWY STE 103
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-4663
Country	:	US
Telephone Number	:	706-786-6530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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Directions to “ SYDNEY DENSEL DPT” Practice Location

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