Provider Demographics
NPI:1124835103
Name:CENTRAL PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:CENTRAL PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER BUESCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:256-223-3730
Mailing Address - Street 1:88191 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:LINEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36266-6944
Mailing Address - Country:US
Mailing Address - Phone:256-223-3730
Mailing Address - Fax:
Practice Address - Street 1:88191 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:LINEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36266-6944
Practice Address - Country:US
Practice Address - Phone:256-223-3730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty