Bernadette Cabangal
Individual provider Active NPI Physical Therapist · Oakland, TN
NPI 1013063353 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1013063353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 4080 (TN)
- Practice address
- 6685 Highway 64 Ste 3
Oakland, TN 38060-3402 - Phone
- (901) 465-7850
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 4080 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TN Therapy Outsource, LLC | Physical Therapist | Current |
Accepting new patients |
| Rehabdynamix SC | Physical Therapist | Past |
Accepting new patients |
| Physical Therapy of Jackson PC. | Past |
Accepting new patients |
Locations
2782 N Highland Ave
Ste A
Jackson, TN 38305
Phone (731) 664-1172
1296 Union University Dr
Ste G
Jackson, TN 38305
Phone (865) 406-7675
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 4080 | TN | Yes |
Addresses
Primary practice location
6685 Highway 64 Ste 3
Oakland, TN 38060-3402
Mailing address
6685 Highway 64 Ste 3
Oakland, TN 38060-3402
Phone (901) 465-7850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3658958 | Medicaid | TN |
Other providers in Oakland, TN
- Betterx LLC
- Blessing Hands
- Timothy Michael Bodily
- Latonia Brooks-Williams
- Briana Burress
- Elijah Choy
- Mary Portera Curtis
- Dawn M Doughten
- Dove Family Dentistry Oakland PLLC
- Laura Marie Durfee
All providers in Oakland, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.