ADVANCED PHYSIOTHERAPY, PLLC (NPI# 1427507201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427507201 |
| Entity Type | Organization |
| Organization Name | ADVANCED PHYSIOTHERAPY, PLLC |
| Practice Address |
4120 Bradford Hicks Dr Suite A Livingston TN 38570-2213 |
| Mailing Address |
705 E Hudgens St Apt A Cookeville TN 38501-4564 |
| Practice Telephone | 9314032040 |
| Practice Fax Number | 9314032041 |
| Mailing Telephone | 9314032040 |
| Mailing Fax Number | 9314032041 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MR. DREW RANDOLPH (OWNER/MANAGER- PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9313192763 |
| Authorized Official Credential | DPT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
8634 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 01379040 | 05 |
| Street Address |
4120 BRADFORD HICKS DR SUITE A |
| City | LIVINGSTON |
| State | TN |
| Zip Code | 38570-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331906 | Kenneth Lee Colburn | Family Medicine | 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 | 2005-07-26 |
| 1770009250 | Anna Margaret Williams | Nurse Practitioner | 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 | 2017-08-16 |
| 1649683061 | Lindsey Myers | Family Medicine | 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 | 2014-06-03 |
| 1376793216 | Oasis Medical Center LLC | Family Medicine | 4120 Bradford Hicks Dr, Livingston, TN 38570 | 2008-09-29 |
| 1518143130 | Emily A Lee | Nurse Practitioner | 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 | 2008-01-14 |
| 1477739092 | Joshua Aaron Cooper | Nurse Practitioner | 4120 Bradford Hicks Dr, Livingston, TN 38570-2213 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825648 | Larry W Neal | Non-emergency Medical Transport (VAN) | 4145 Bradford Hicks Dr, Livingston, TN 38570 | 2011-05-04 |
| 1457682734 | Rocky Top Delivery Service | Non-emergency Medical Transport (VAN) | 11653 Bradford Hicks Dr., Livingston, TN 38570 | 2010-01-26 |
| 1790936425 | Linde-rss, LLC | Durable Medical Equipment & Medical Supplies | 104b West Court Square, Livingston, TN 38570 | 2008-09-30 |
| 1114053816 | Angela Abbott | Registered Nurse | 5885 Bradford Hicks Drive, Tn Dept of Health, Livingston, TN 38570 | 2007-02-26 |
| 1700929205 | Cumberland Plateau Recovery | Counselor | 550 North Church Street, Livingston, TN 38570 | 2007-02-14 |
| 1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
| 1710900691 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 321 West Broad St, Suite A, Livingston, TN 38570 | 2006-07-25 |
| 1982647665 | Mark Douglas Pressley | Emergency Medicine | Livingston Regional Hospital, 315 Oak Street, Livingston, TN 38570 | 2006-06-13 |
| 1245586031 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-30 |
| 1497010623 | Shellnuts Aces Inc | Pharmacy | 1970 Bradford Hicks Dr, Ste B, Livingston, TN 38570 | 2012-07-13 |
| Find all providers in zip 38570 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342441 | A Plus Therapy LLC | Clinic/Center | 600 S Livingston Ave Ste 207, Livingston, NJ 07039-5415 | 2019-02-19 |
| 1023433307 | Multi Vision Services LLC | Clinic/Center | 6 Highland Dr, Livingston, NJ 07039-2809 | 2014-02-24 |
| 1093089740 | Granite Sports Medicine | Clinic/Center | 1014 W Park St Ste 4, Livingston, MT 59047-2541 | 2012-02-28 |
| 1497703896 | Evergreen At Livingston, L.L.C. | Clinic/Center | 510 S 14th St, Livingston, MT 59047-3731 | 2006-05-05 |
| 1326048737 | Physical Medicine Center of The Cumberlands | Clinic/Center | 7385 Bradford Hicks Dr, Livingston, TN 38570-2239 | 2005-07-28 |
| 1407113525 | West Park Rehab & Aquatic Center | Clinic/Center | 210 W Park, Suite 101, Livingston, TX 77351-8336 | 2012-04-13 |
| 1982813234 | Rehab Associates, LLC | Clinic/Center | University of West Alabama, Station 14, Livingston, AL 35470-2097 | 2007-05-22 |
| 1831248814 | Physical Therapy House Calls Limited Liability Company | Clinic/Center | 34 Harvest Ln, Livingston, NJ 07039-2757 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 38570 |
Please comment or provide details below to improve the information on ADVANCED PHYSIOTHERAPY, PLLC.
| 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.