Advanced Therapy Center, Inc
Organization Active NPI Physical Therapist · Muscle Shoals, AL
NPI 1982807228 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1982807228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH4059 (AL)
- Legal business name
- ADVANCED THERAPY CENTER, INC
- Practice address
- 1302 Woodward Ave
Muscle Shoals, AL 35661-2236 - Phone
- (256) 386-0885
- Fax
- (256) 386-0895
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Russell E Burks, DPT
- Title
- Co-Director
- Phone
- (256) 386-0885
Practitioners 3
-
Russell Edwin Burks, DPT
-
Lance Allen Willis, RPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070831000494 | AL | Part B Supplier - Clinic/Group Practice | 7012000326 |
Receives reassigned benefits from 2 practitioners Practice locations: Muscle Shoals, AL |
National Provider Directory
Locations
1302 Woodward Ave
Muscle Shoals, AL 35661
Phone (256) 386-0885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PTH4059 | AL | Yes |
Addresses
Primary practice location
1302 Woodward Ave
Muscle Shoals, AL 35661-2236
Mailing address
1023 Sky Park Rd
Florence, AL 35634
Phone (256) 335-4089
Other providers in Muscle Shoals, AL
- 1 Life Neurology Center
- 200 Alabama Ave Opco, LLC
- A & S Private Care Services
- Acaf of the Shoals
- Advantage Family Care, Inc.
- Agape Counseling LLC
- Agilitas USA, Inc
- Laura Akers
- Ahmad B Al-Hamda
All providers in Muscle Shoals, AL · Physical Therapist 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 22, 2020. 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.