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NPI Code Detail

MEDICARE: APEX PHYSICAL THERAPY, P.C.

MEDICARE: APEX PHYSICAL THERAPY, P.C.
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
1261QP2000XPhysical Therapy Clinic/Center5832TN

General Provider Information

NPI Number : 1700030970
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX PHYSICAL THERAPY, P.C.
Provider Business Mailing Address
First Line : 280 N FAIRMONT AVE
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814-3768
Country : US
Telephone Number : 423-585-5023
Fax Number :
Provider Business Practice Location Address
First Line : 280 N FAIRMONT AVE
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814-3768
Country : US
Telephone Number : 423-585-5023
Fax Number :
Authorized Official
Title or Position : PRESIDENT/PHYSICAL THERAPIST
Name : MR. JASON ANDREW WILDER
Credential : P.T.
Telephone Number : 865-809-7842
Provider Enumeration Date : 11/13/2008
Last Update Date : 01/09/2009

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Directions to “APEX PHYSICAL THERAPY, P.C. ” Practice Location

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