# BAY MINETTE PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235092628
- **Authorized official:** PAMELA P VAN ETTEN (DIR OF CREDENTIALING AND ACC PAYABL)
- **Authorized official phone:** (334) 799-5853

## Contact information

- **Practice address:** 1512 S US HIGHWAY 31, BAY MINETTE, AL 36507-2611
- **Practice address phone:** (251) 580-3232
- **Practice address fax:** (251) 580-3234
- **Mailing address:** 1512 S US HIGHWAY 31, BAY MINETTE, AL 36507-2611
- **Mailing address phone:** (251) 580-3232
- **Mailing address fax:** (251) 580-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 12/03/2025