Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

904 Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1467193102

904 Therapy LLC is a Physical Therapy Clinic/Center in Rogersville, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 W Main St
Rogersville, TN 37857-2448
Phone: (423) 500-5600
Fax: (423) 373-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1467193102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Blcak — President · (423) 258-2264
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing address2800 N 6th St Unit 1, Saint Augustine, FL 32084-1886

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