Sequatchie Valley Physical Therapy, LLC
Physical Therapist in Dunlap, TN. Organization (NPI-2).
NPI number1073701751
StatusActive
Last updated in NPPESMay 6, 2013
Details
- NPI
- 1073701751
- Entity type
- Organization (NPI-2)
- Legal business name
- Sequatchie Valley Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2007
- Last updated
- May 6, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - OUTPATIENT PHYSICAL THERAPY/OCCUPATIONAL T
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Omni Rehab, LLC (Doing Business As)
Practice location
17919 Rankin AveSuite G
Dunlap, TN 37327-7040
Phone 423-949-7899 · Fax 423-949-3416
Mailing address
Po Box 373Pikeville, TN 37367-0373
Phone 423-949-7899 · Fax 423-949-3416
Authorized official
Tommy G. Haupert
Chief Operating Officer
4239497899
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