Tina C Caples, PT

Individual provider Active NPI Physical Therapist · Oneonta, AL

NPI 1629280474 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629280474
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTH 2161 (AL)
Practice address
150 Gilbreath Dr
Oneonta, AL 35121-2827
Phone
(205) 274-8730
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTH 2161ALMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH 2161 AL Yes

Addresses

Primary practice location

150 Gilbreath Dr
Oneonta, AL 35121-2827

Mailing address

PO Box 765
Oneonta, AL 35121-0026
Phone (205) 274-8730

Other identifiers

IdentifierTypeStateIssuer
510-95485OtherALMCEBCBS
515-06865OtherALSCRBCBS
515-06867OtherALMCB BCBS

Other providers in Oneonta, AL

All providers in Oneonta, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.