Advanced Physiotherapy, PLLC
Organization Active NPI Physical Therapy Clinic/Center · Livingston, TN
NPI 1427507201 · NPPES record last updated Oct 18, 2016
Key facts
- NPI
- 1427507201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 8634 (TN)
- Legal business name
- ADVANCED PHYSIOTHERAPY, PLLC
- Practice address
- 4120 Bradford Hicks Dr
Suite a
Livingston, TN 38570-2213 - Phone
- (931) 403-2040
- Fax
- (931) 403-2041
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Drew Randolph, DPT, OCS
- Title
- Owner/Manager- Physical Therapist
- Phone
- (931) 319-2763
National Provider Directory
Locations
4120 Bradford Hicks Dr
Ste A
Livingston, TN 38570
Phone (931) 403-2040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 8634 | TN | Yes |
Addresses
Primary practice location
4120 Bradford Hicks Dr
Suite a
Livingston, TN 38570-2213
Mailing address
705 E Hudgens St Apt a
Cookeville, TN 38501-4564
Phone (931) 403-2040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01379040 | Medicaid | TN |
Other providers in Livingston, TN
- Angela Abbott
- Robert Joseph Adams
- Advanced Surgical Care of Tennessee
- Amelia Aguiar
- Phillip Jordan Alcorn
- Brenda Elizabeth Allen
- Ashley Wright Allred
All providers in Livingston, TN · Physical Therapy Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2016. 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.