INNERFIT OF FOREST AVENUE, LLC (NPI# 1114136033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114136033 |
| Entity Type | Organization |
| Organization Name | INNERFIT OF FOREST AVENUE, LLC |
| Practice Address |
1510 Forest Ave Montgomery AL 36106-1517 |
| Mailing Address |
7088 University Ct Montgomery AL 36117-6992 |
| Practice Telephone | 3342622773 |
| Practice Fax Number | 3342622775 |
| Mailing Telephone | 3343961400 |
| Mailing Fax Number | 3343962727 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT M TATE JR. (OWNER) |
| Authorized Official Telephone | 3343961400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1510 FOREST AVE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535401 | Montgomery Neurosurgical Associates | Specialist | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2005-08-16 |
| 1770054389 | Heather Layne Culligan | Nurse Practitioner | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2018-12-07 |
| 1346751245 | Jenna King | Nurse Practitioner | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2017-10-18 |
| 1275736365 | Thomas Randolph Whisenhunt | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2007-06-07 |
| 1649346784 | Patrick G Ryan | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1316013451 | Thomas W Rigsby | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1720154768 | Michael D Easterling | Physician Assistant | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
| 1588753297 | High Tech Imaging Center Inc | Radiologic Technologist | 1510 Forest Ave, Suite B, Montgomery, AL 36106-1517 | 2006-10-12 |
| 1790734242 | Joshua Andrew Miller | Neurological Surgery | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850102 | Mobility Rehab LLC - Eastdale Estates | Clinic/Center | 5801 Eastdale Dr Apt 122, Montgomery, AL 36117-2160 | 2019-09-18 |
| 1639725104 | Wilderness Performance Therapy & Strength Training, LLC. | Clinic/Center | 1823 Ness Way, Montgomery, IL 60538-4073 | 2019-08-12 |
| 1467959544 | Innerstrength Physical Therapy, LLC | Clinic/Center | 5251 Hampstead High St Ste 400, Montgomery, AL 36116-6757 | 2018-04-06 |
| 1467850057 | Lake Conroe Physical Therapy and Rehabilitation Services, Inc. | Clinic/Center | 11459 Regal Hill Ct, Montgomery, TX 77316-9648 | 2014-12-12 |
| 1861698649 | Vp Rehabilitation Medicine LLC | Clinic/Center | 1851 Douglas Rd, Vohra Medical Center, Montgomery, IL 60538-2159 | 2007-06-26 |
| 1023143617 | Encore Rehabiliation Inc | Clinic/Center | Auburn University At Montgomery, 7440 East Drive, Montgomery, AL 36117 | 2007-02-22 |
| 1184707382 | Rehab Associates, LLC | Clinic/Center | 1215 Mulberry St, Montgomery, AL 36106-1130 | 2006-10-23 |
| 1891721528 | Innerfit East, LLC | Clinic/Center | 242 Winton M Blount Loop, Montgomery, AL 36117-3501 | 2006-06-24 |
| 1366488272 | Innerfit, Inc. | Clinic/Center | 7088 University Ct, Montgomery, AL 36117-6992 | 2006-06-20 |
| 1396780706 | Innerfit West, LLC | Clinic/Center | 1601 Forest Ave, Montgomery, AL 36106-1541 | 2006-06-19 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on INNERFIT OF FOREST AVENUE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.