Pediatric Physical Therapy

LBN: Nancy D. Cogburn
Pediatric Physical Therapy is an health care organization with primary practice located at 1759 Scenic Dr , Maryville TN 37803-5535. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Nancy D. Cogburn can be contacted via phone (865) 654-2069, or through Cogburn, Nancy via phone (865) 654-2069.

Contact Information

Primary practice address
1759 Scenic Dr Maryville TN 37803-5535
Phone: (865) 654-2069
Fax: (865) 233-2476
Website:
Map and Directions
Authorized official contact:
Name: Cogburn, Nancy P.T., D.P.T.
Phone: (865) 654-2069

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0000010045 Tennessee

Profile Details

NPI number 1184162000
LBN Legal business name Nancy D. Cogburn
DBA Doing business as Pediatric Physical Therapy
Authorized official Cogburn, Nancy P.T., D.P.T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2017
Last updated Feb 11th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184162000 NPPES
Tennessee MEDICAID 1534803

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