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PELHAM B. CHASTANG NPI 1023184587


NPI Information

NPI: 1023184587
Provider Name: PELHAM B. CHASTANG

Doing Business As: BUCKAROO BARN, L. L. C.

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
39821 DUFFEE LN
BAY MINETTE, AL
ZIP 36507
Phone: (251) 937-7600
Get Directions

PELHAM B. CHASTANG is a pediatrics physical therapist in Bay Minette, AL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PELHAM B. CHASTANG NPI is 1023184587. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Buckaroo Barn, L. L. C..

The provider's business location address is:

39821 DUFFEE LN
BAY MINETTE, AL
ZIP 36507-877
Phone: (251) 937-7600
Fax: (251) 937-7653

The provider's authorized official is Kristye Hall Chastang .
The authorized official title is Physical Therapist and has the following contact phone number (251) 937-7600.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsPTH2770ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151527691OTHERALABAMABC BS FACILITY PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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