Provider Demographics
NPI:1316034721
Name:EW MOTION THERAPY HOMEWOOD LLC
Entity Type:Organization
Organization Name:EW MOTION THERAPY HOMEWOOD LLC
Other - Org Name:ESKRIDGE AND WHITE PHYSIOTHERAPY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MAMAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-879-7501
Mailing Address - Street 1:3125 INDEPENDENCE DR
Mailing Address - Street 2:300B
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-879-7501
Mailing Address - Fax:205-263-0994
Practice Address - Street 1:3125 INDEPENDENCE DR
Practice Address - Street 2:300B
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-879-7501
Practice Address - Fax:205-263-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALDB3969OtherRAILROAD MEDICARE
ALJ375Medicare PIN
ALDB3969Medicare PIN