MEDICARE: TALBERT PATE PT

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	CP033345T	NC
2	225100000X	Physical Therapist	CP038651T	KY
3	225100000X	Physical Therapist	CP043330T	TN

General Provider Information

NPI Number	:	1790517647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALBERT PATE PT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4654 NASHVILLE HWY
Second Line	:
City	:	CHAPEL HILL
State	:	TN
Zip	:	37034-2126
Country	:	US
Telephone Number	:	931-364-4666
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	04/15/2025

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Directions to “ TALBERT PATE PT” Practice Location

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