Elizabeth Thrasher Hullander, PT
Individual provider Active NPI Physical Therapist · Signal Mountain, TN
NPI 1205219565 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1205219565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10369 (TN)
- Practice address
- 317 Ault Rd Ste 100
Signal Mountain, TN 37377-3154 - Phone
- (238) 869-2944
- Fax
- (423) 886-9928
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| PT012281 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012281 | GA | |
| Physical Therapist | 225100000X | 10369 | TN | Yes |
Addresses
Primary practice location
317 Ault Rd Ste 100
Signal Mountain, TN 37377-3154
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930
Other providers in Signal Mountain, TN
- Ali Katherine Hansford-McKinney
- Elaine W Hatch
- Tricia Henderson
- Terry F Holmes
- Jonathan Ryan Hudson
- Independent Physical Therapy LLC
- Jennifer Lynn Ingram
- John D Cranwell MD PLLC
- Karen Jonakin
- Brian Kyle Jones
All providers in Signal Mountain, 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 Aug 19, 2019. 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.