904 THERAPY LLC
NPI 1467193102
Clinic/Center - Physical Therapy in Rogersville, TN

Active since April 06, 2022
900 W MAIN ST, ROGERSVILLE, TN 37857(423) 500-5600(423) 373-1351 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 904 Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

904 THERAPY LLC (NPI 1467193102) is a healthcare organization registered as a physical therapy in Rogersville, Tennessee and active in the NPI registry since April 2022. The organization lists Jordan C Blcak, President, as its authorized official.

NPPES Registry Identity

NPI1467193102
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business Name904 THERAPY LLC
Location Address900 W MAIN STRogersville, TN 37857-2448
Mailing Address2800 N 6th St Unit 1Saint Augustine, FL 32084-1886 · (423) 317-7772 · Fax (423) 373-1351
Fax(423) 373-1351
Organization SubpartNo
Authorized OfficialJordan C BlcakPresident · (423) 258-2264
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
NPI 1467193102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
900 W MAIN ST, Rogersville, TN 37857

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
ROGERSVILLE, TN 37857
Clinic/Center (Federally Qualified Health Center (FQHC))
900 W MAIN ST
ROGERSVILLE, TN 37857
Physical Therapist
900 W MAIN ST
ROGERSVILLE, TN 37857
Physical Therapist
900 W MAIN ST
ROGERSVILLE, TN 37857
Pharmacy (Community/Retail Pharmacy)
900 W MAIN ST
ROGERSVILLE, TN 37857
Occupational Therapist
900 W MAIN ST
ROGERSVILLE, TN 37857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 904 Therapy LLC's NPI number?

The NPI number for 904 Therapy LLC is 1467193102. It was assigned to this organization in the NPPES registry on April 6, 2022.

Where is 904 Therapy LLC located?

904 Therapy LLC is located at 900 W Main St, Rogersville, TN 37857. The listed phone number is (423) 500-5600.

What is 904 Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for 904 Therapy LLC was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.