Teresa Bristol is a Sports in Atlanta, Georgia. Teresa Bristol practices all healthcare services and medical treatments related to Sports. The NPI Number for Teresa Bristol is 1053381400. The last update date is 2019-09-20.
Teresa Bristol's current location address is 400 W Peachtree St Nw, Atlanta, Georgia. You can contact this provider via phone number 4707332135 and fax number 8557039473. The mailing address for Teresa Bristol is 400 W Peachtree St Nw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Teresa Bristol |
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Address | 400 W Peachtree St Nw, Atlanta, Georgia |
Phone Number | 4707332135 |
Fax Number | 8557039473 |
Sole Proprietor | N |
Credentials | PT, CERT. |
NPI Number Detail
NPI Number | 1053381400 |
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Provider Enumeration Date | 2006-01-26 |
Last Updated Date | 2019-09-20 |
Provider Mailing Address Detail
Address | 400 W Peachtree St Nw |
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City | Atlanta |
State | Georgia (GA) |
Post Code | 303083536 |
Phone Number | 4707332135 |
Fax Number | 8557039473 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | PT007043 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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003190988A | GA | -- | |
4620664 | CIGNA | ||
5207111 | GA | AMERIGROUP | |
105338140-001 | GA | TRICARE SOUTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Teresa Bristol by the Centers for Medicare & Medicaid Services?
The Teresa Bristol has been issued the NPI (National Provider Identifier) 1053381400 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Teresa Bristol's facilities are situated?
The facilities of Teresa Bristol are physically located at the following address: 400 W Peachtree St Nw, Atlanta, GA, 303083536.
What is Teresa Bristol's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teresa Bristol's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did Teresa Bristol receive its 1053381400 assignment from the Centers for Medicare & Medicaid Services?
The Teresa Bristol was assigned its 1053381400 on 2006-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Teresa Bristol, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Teresa Bristol, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-20.