904 Therapy LLC
NPI 1467193102 · Physical Therapy Clinic/Center · Rogersville, TN
904 Therapy LLC is a Physical Therapy Clinic/Center organization in Rogersville, TN (NPI 1467193102).
Provider details
- NPI number
- 1467193102
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Blcak, President(423) 258-2264
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Frequently asked questions
- What is 904 Therapy LLC's NPI number?
- 904 Therapy LLC's National Provider Identifier (NPI) is 1467193102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 904 Therapy LLC?
- 904 Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is 904 Therapy LLC located?
- 904 Therapy LLC's practice location on file with NPPES is 900 W Main St, Rogersville, TN 37857-2448.
- What is 904 Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for 904 Therapy LLC is (423) 500-5600.
- Who is the authorized official for 904 Therapy LLC?
- The authorized official listed on 904 Therapy LLC's NPPES record is Jordan Blcak, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 904 Therapy LLC's NPI active?
- Yes — 904 Therapy LLC's NPI (1467193102) is active in the NPPES registry as of the last update on 2022-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.