Specialized Physical Therapy, Pllc

LBN: Specialized Physical Therapy, Pllc
Specialized Physical Therapy, Pllc is an health care organization with primary practice located at 6025 Lee Hwy Ste 445 , Chattanooga TN 37421-2966. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Specialized Physical Therapy, Pllc can be contacted via phone (423) 499-4043, or through Keach, Kenneth Luke via phone (423) 364-6183.

Contact Information

Primary practice address
6025 Lee Hwy Ste 445 Chattanooga TN 37421-2966
Phone: (423) 499-4043
Fax: (423) 499-4045
Website:
Map and Directions
Authorized official contact:
Name: Keach, Kenneth Luke PT, DPT
Phone: (423) 364-6183

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1265723464
LBN Legal business name Specialized Physical Therapy, Pllc
DBA Doing business as
Authorized official Keach, Kenneth Luke PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2011
Last updated Apr 28th, 2017 - about 7 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 1265723464 NPPES
Georgia MEDICAID 003185128A
Georgia MEDICAID 1524405

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