PHYSIOLETE THERAPY AND PERFORMANCE LLC (NPI# 1275187650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275187650 |
| Entity Type | Organization |
| Organization Name | PHYSIOLETE THERAPY AND PERFORMANCE LLC |
| Practice Address |
610 Lurleen B Wallace Blvd N Tuscaloosa AL 35401-1713 |
| Practice Telephone | 2052922428 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | MICHELLE HAWTHORNE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2052922428 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
610 LURLEEN B WALLACE BLVD N |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1780098830 | Encore Rehabilitation, Inc. | Clinic/Center | 6561 Highway 69 S, Suite A, Tuscaloosa, AL 35405-6488 | 2014-06-17 |
| 1326189861 | Rehab Associates, LLC | Clinic/Center | 323 Paul Bryant Dr, Tuscaloosa, AL 35487-0001 | 2007-02-09 |
| 1518976034 | Rehab Associates, LLC | Clinic/Center | 2700 University Blvd, Suite A, Tuscaloosa, AL 35401-1403 | 2006-08-05 |
| 1942219472 | Rehab Associates, LLC | Clinic/Center | 401 Fifth Avenue, East, University of Al, Tuscaloosa, AL 35487-0000 | 2006-08-05 |
| 1679509277 | Innerfit of Tuscaloosa, Inc. | Clinic/Center | 1825 Mcfarland Blvd N, Tuscaloosa, AL 35406-2251 | 2006-06-24 |
| 1740259704 | Select Physical Therapy Holdings Inc | Clinic/Center | 1406 Mcfarland Blvd N, Ste 1b, Tuscaloosa, AL 35406 | 2006-03-14 |
| 1851865109 | Dch Encore Rehabilitation, LLC | Clinic/Center | 6561 Highway 69 S Ste A, Tuscaloosa, AL 35405-6488 | 2019-01-18 |
| 1295061869 | Clary & Jones LLC | Clinic/Center | 100 Towncenter Blvd, Suite 202, Tuscaloosa, AL 35406-1833 | 2009-11-02 |
| 1134175623 | Aptor Inc. | Clinic/Center | 526 14th St, Tuscaloosa, AL 35401-3434 | 2006-05-26 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on PHYSIOLETE THERAPY AND PERFORMANCE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.