Full Spectrum Pediatric Therapy, Inc., NPI 1255472403
Physical Therapist in Clarksville, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1255472403
NPI Entity Type Organization
Provider Name Full Spectrum Pediatric Therapy, Inc.
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 298 Warfield Blvd, Suite C, Clarksville, TN, US
Provider Mailing Address 298 Warfield Blvd, Suite C, Clarksville, TN, US, 370431896
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MRS. OTR/L Lana Kareen Broome
Official Position OWNER/PRESIDENT
Phone 931-906-0440

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

225100000X

Taxonomy Name Physical Therapist
Classification

Physical Therapist

Group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

License No. PT 6520
License State TN
Description Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Other Organization Name

Full Spectrum Rehab Center
Former Legal Business Name

Business Address

Full Spectrum Pediatric Therapy, Inc.
298 Warfield Blvd, Suite C

Clarksville, TN, US

Phone: 931-906-0440
Fax: 931-920-5070

Mailing Address

Full Spectrum Pediatric Therapy, Inc.
298 Warfield Blvd, Suite C
Clarksville, TN, US
ZIP 370431896
Phone: 931-906-0440
Fax: 931-920-5070

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

225X00000X

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

OT 2156 TN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4004828 TN TENNCARE PROVIDER NUMBER 01
4004828 TN BCBS PROVIDER NUMBER 01

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MRS. PA-C Brittany C Smith

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