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

Southern Physical Therapy, LLC

Organization Physical Therapist · NPI 1720162662

Southern Physical Therapy, LLC is a Physical Therapist in Columbia, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
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

1810 Shady Brook St Ste 3
Columbia, TN 38401-3993
Phone: (931) 388-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2044 (TN)
Physical Therapist Taxonomy 225100000X · Licence PT6832 (TN)

Record details

NPI number1720162662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Mastalerz — Owner/Administrator · (931) 388-8500
NPI enumeratedOctober 25, 2006
Last updated in NPPESFebruary 23, 2015
Mailing address1810 Shady Brook St, Suite 3, Columbia, TN 38401-3993

Other providers in Columbia