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Southern Physical Therapy, LLC

Physical Therapist in Columbia, TN · enumerated 2006 · authorized official William Mastalerz, Owner/Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720162662

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Physical Therapy, LLC
Practice address 1810 Shady Brook St, Suite 3, Columbia, TN, 38401
Enumeration date Oct 25, 2006
Last updated in NPPES Feb 23, 2015

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT2044 (TN) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT6832 (TN) Secondary

Authorized official

Name William Mastalerz
Title Owner/Administrator

Other identifiers

Identifier Type State Issuer
3723207 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southern Physical Therapy, LLC located?
The practice location on file with NPPES is in Columbia, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-02-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-23.