# OVER THE MOUNTAIN REHAB, INC

> 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:** 1376610865
- **Authorized official:** MS. LISA R BOR PT (PRESIDENT)
- **Authorized official phone:** (205) 423-9502

## Contact information

- **Practice address:** 2204 LAKESHORE DR, SUITE 150, HOMEWOOD, AL 35209-6729
- **Practice address phone:** (205) 423-9502
- **Practice address fax:** (205) 423-9504
- **Mailing address:** 2204 LAKESHORE DR, SUITE 150, HOMEWOOD, AL 35209-6729
- **Mailing address phone:** (205) 423-9502
- **Mailing address fax:** (205) 423-9504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH1468 | AL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 03/27/2009