Provider Demographics
NPI:1265462824
Name:SEGAL, JAY H (PT)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:H
Last Name:SEGAL
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 1:521 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1878
Mailing Address - Country:US
Mailing Address - Phone:205-978-5454
Mailing Address - Fax:
Practice Address - Street 1:521 MONTGOMERY HWY
Practice Address - Street 2:SUITE 109
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-1878
Practice Address - Country:US
Practice Address - Phone:205-978-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4084225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist