Southern Physical Therapy, LLC
NPI 1720162662ActiveOrganization· Physical Therapist· Columbia, TN
Physical Therapist in Columbia, Tennessee, registered in NPPES in October 2006. The authorized official on file is William John Mastalerz, PT, ATC, Owner/Administrator.
Overview
| NPI | 1720162662 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Feb 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT2044 | TN |
| Physical Therapist | 225100000X | PT6832 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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