Astound Physical Therapy
Organization Active NPI Physical Therapy Clinic/Center · Atmore, AL
NPI 1720569205 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1720569205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PTH6465 (AL)
- Legal business name
- ASTOUND PHYSICAL THERAPY
- Practice address
- 104 5TH Ave
Atmore, AL 36502-2617 - Phone
- (251) 321-0799
- Fax
- (251) 321-0798
- NPI assigned
- Aug 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Lena Hardy
- Title
- Physical Therapist
- Phone
- (251) 321-0799
Practitioners 1
-
Lena S Hardy, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190128001739 | AL | Part B Supplier - Clinic/Group Practice | 4587901657 |
Receives reassigned benefits from 1 practitioner Practice locations: Atmore, AL |
National Provider Directory
Locations
104 5th Ave
Atmore, AL 36502
Phone (214) 215-4627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PTH6465 | AL | Yes |
Addresses
Primary practice location
104 5TH Ave
Atmore, AL 36502-2617
Mailing address
104 5TH Ave
Atmore, AL 36502-2617
Phone (251) 321-0799
Other names
- Astound Physical Therapy
Other providers in Atmore, AL
- Agape Family Medicine, LLC
- Alabama Department of Public Health
- Alabama Em-I Medical Services PC
- Ams Atmore LLC
- Ann Marie Nowak LPC PC
- Atmore Ambulance, Inc.
- Atmore Community Home Care, LLC
- Atmore Industrial Medicine, LLC.
- Atmore Nursing Center, LLC
- Bonita Ann Baggett
All providers in Atmore, AL · Physical Therapy Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. 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.