Provider Demographics
NPI:1093734105
Name:HOOKS, TODD RYAN (PT)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:RYAN
Last Name:HOOKS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OFFICE PARK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2545
Mailing Address - Country:US
Mailing Address - Phone:205-229-9309
Mailing Address - Fax:205-383-1251
Practice Address - Street 1:10 OFFICE PARK CIR STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2545
Practice Address - Country:US
Practice Address - Phone:052-299-3092
Practice Address - Fax:205-383-1251
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-013175225100000X
ALPTH2791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51532485OtherBCBS OF AL
AL890015960Medicaid
AL5773741OtherAETNA