AGILE PHYSICAL THERAPY, LLC (NPI# 1154578524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154578524 |
| Entity Type | Organization |
| Organization Name | AGILE PHYSICAL THERAPY, LLC |
| Practice Address |
3419 Colonnade Pkwy Ste 100 Birmingham AL 35243-3337 |
| Practice Telephone | 2059697887 |
| Practice Fax Number | 2059697886 |
| Mailing Telephone | 2059697887 |
| Mailing Fax Number | 2059697886 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MRS. LISA CATES ALTAMIRANO (DIRECTOR) |
| Authorized Official Telephone | 2059697887 |
| Authorized Official Credential | PT MS CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTH3294 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NPI - INDIVIDUAL | 1265654073 | 01 |
| AL | BLUE CROSS BLUE SHIELD OF ALABAMA | 515-92499 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Agile Physical Therapy, LLC |
| Street Address |
3419 COLONNADE PKWY STE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212494 | St Vincents Ambulatory Healthcare Network LLC | Clinic/Center | 7191 Cahaba Valley Rd Ste 102, Birmingham, AL 35242-6443 | 2017-08-24 |
| 1457802183 | Encore Rehab of Homewood | Clinic/Center | 120 Oxmoor Ct, B, Birmingham, AL 35209-6341 | 2016-10-18 |
| 1598210528 | Encore Rehab of Center Point | Clinic/Center | 1687 Center Point Pkwy, Suite 101/bay 10, Birmingham, AL 35215-5528 | 2016-08-19 |
| 1063881464 | Encore Rehabilitation Inc | Clinic/Center | 1355 Bessemer Rd Ste B, Birmingham, AL 35208-4325 | 2015-09-16 |
| 1336415082 | Amazing Physical Therapy and Rehabilitation | Clinic/Center | 1576 Southfield Rd, Birmingham, MI 48009-3004 | 2012-03-27 |
| 1568742252 | Rehab Associates, LLC | Clinic/Center | 900 Arkadelphia Rd, Birmingham Southern College, Birmingham, AL 35254-0002 | 2011-08-25 |
| 1275777336 | Dena H Imhof | Clinic/Center | 1233 18th Ave S, Birmingham, AL 35205-6611 | 2009-04-20 |
| 1710120423 | Select Provider Networks, Inc. | Clinic/Center | 500 Riverhills Business Park Ste 500, Birmingham, AL 35242-5039 | 2009-04-10 |
| 1699910505 | Therapy South Mountain Brook | Clinic/Center | 205 Country Club Park, Birmingham, AL 35213-4237 | 2008-12-05 |
| 1831301969 | Greystone Back Pain Center, LLC | Clinic/Center | 101 Missionary Ridge Suite 200b, Birmingham, AL 35242 | 2007-05-03 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
Please comment or provide details below to improve the information on AGILE PHYSICAL THERAPY, 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.