ADVANTAGE PHYSICAL THERAPY, LLC (NPI# 1518036946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518036946 |
Entity Type | Organization |
Organization Name | ADVANTAGE PHYSICAL THERAPY, LLC |
Practice Address |
17495 Al Hwy 75 Henagar AL 35978 |
Practice Telephone | 2566573626 |
Practice Fax Number | 2566573623 |
Mailing Telephone | 2566573626 |
Mailing Fax Number | 2566573623 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | STACI KATHLEEN STOUT (LPTA CO-OWNER) |
Authorized Official Telephone | 2566573626 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | AL | Other Service Providers |
Street Address |
17495 AL HWY 75 |
City | HENAGAR |
State | AL |
Zip Code | 35978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124121025 | Brian Morris Williams | Specialist | 17495 Al Hwy 75, Henagar, AL 35978 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568600617 | Barla Thomas | Nurse Practitioner | 18324 Alabama Hwy 75, Henagar, AL 35978 | 2009-01-28 |
1780763789 | Thompson & Thorne, Dmd, PC | Dentist | 18358 Alabama Hwy 75, Henagar, AL 35978 | 2006-11-02 |
1891873717 | Barry Scott Thompson | Dentist | 18358 Alabama Highway 75, Henagar, AL 35978 | 2006-11-01 |
1316901028 | Horace W. Linder | Optometrist | 17154 Al Hwy 75, Henagar, AL 35978 | 2006-04-12 |
1992786636 | Anthony Sims | Family Medicine | 18324 Alabama Highway 75, Henagar, AL 35978 | 2005-11-09 |
1174799274 | Henagar Eye Clinic Inc | Clinic/Center | 17154 Al Hwy 75, Henagar, AL 35978 | 2008-05-08 |
1033297965 | Leslie Ann Thorne | Dentist | 18358 Alabama Highway 75, Henagar, AL 35978 | 2006-11-01 |
1740375732 | Henagar Family Medicine, L.L.C. | Family Medicine | 18324 Alabama Highway 75, Henagar, AL 35978 | 2006-10-04 |
1376508218 | Susan Parker | Nurse Practitioner | 18324 Alabama Highway 75, Henagar, AL 35978 | 2006-04-20 |
1083786305 | Camp Drugs, LLC | Pharmacist | 18294 Broad St, Henagar, AL 35978-4374 | 2006-11-14 |
Find all providers in zip 35978 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124121025 | Brian Morris Williams | Specialist | 17495 Al Hwy 75, Henagar, AL 35978 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
1548809403 | Mizell Memorial Hospital, Inc. | Specialist | 103 E Memorial Ave Ste A, Opp, AL 36467-1746 | 2019-12-24 |
1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
1598248205 | Almatriga Vladzetta Essex | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2018-09-09 |
1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
1912447210 | Neal Laye | Specialist | 29 W 3rd St, Suite B, Sylacauga, AL 35150-2480 | 2017-03-06 |
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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.