Provider Demographics
NPI:1154999415
Name:COMPASS REHABILITATION AND FITNESS
Entity type:Organization
Organization Name:COMPASS REHABILITATION AND FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:828-230-5781
Mailing Address - Street 1:5321 MOUNTAIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-1609
Mailing Address - Country:US
Mailing Address - Phone:828-230-5781
Mailing Address - Fax:
Practice Address - Street 1:5321 MOUNTAIN CREEK RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-1609
Practice Address - Country:US
Practice Address - Phone:828-230-5781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy