Infinite Rehab and Wellness LLC
Organization Active NPI Physical Therapy Clinic/Center · Jackson, TN
NPI 1649815150 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1649815150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- INFINITE REHAB AND WELLNESS LLC
- Practice address
- 189 W University Pkwy Ste B
Jackson, TN 38305-1671 - Phone
- (731) 300-1080
- NPI assigned
- Nov 8, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Bianca Simmons, DPT. GCS
- Title
- Owner, Physical Therapist
- Phone
- (731) 618-1803
Practitioners 2
-
Bianca Simmons, DPT, GCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200115000554 | TN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1557796877 |
Receives reassigned benefits from 2 practitioners Practice locations: Jackson, TN |
National Provider Directory
Locations
189 W University Pkwy
Ste B
Jackson, TN 38305
Phone (731) 300-1080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
189 W University Pkwy Ste B
Jackson, TN 38305-1671
Mailing address
189 W University Pkwy Ste B
Jackson, TN 38305-1671
Other providers in Jackson, TN
- Impact Behavioral Counseling LLC
- Impact Healthcare, PLLC
- Independent Physical Therapy LLC
- Divya Lakshmi Indrakanti
- Infectious Disease Consultants of Jackson, PC
- Lakisha T Ingram
- Alissa Carol Inman
- Dustin P Inman
- Innovative Physical Therapy
- Institute of Sleep Wellness, LLC
All providers in Jackson, 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 Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.