Camelot Outpatient Services, LLC

Organization Active NPI Physical Therapist · Norris, TN

NPI 1144544172 · NPPES record last updated Feb 14, 2011

Key facts

NPI
1144544172
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CAMELOT OUTPATIENT SERVICES, LLC
Practice address
17 Ridgeway Road
Norris, TN 37828
Phone
(512) 858-9900
Fax
(512) 858-9901
NPI assigned
Mar 19, 2010
Organization subpart
No

Authorized official

Name
James Long
Title
Senior VP & Cfo
Phone
(512) 858-9900

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Camelot Outpatient Services LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

17 Ridgeway Road
Norris, TN 37828

Mailing address

4207 E Hwy 290
Dripping Springs, TX 78620-4206
Phone (865) 494-5554

Other providers in Norris, TN

All providers in Norris, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.