Provider Demographics
NPI:1356448625
Name:PHYSIOTHERAPY ASSOCIATES
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:205-987-0206
Mailing Address - Street 1:600 MONTGOMERY HWY
Mailing Address - Street 2:SUTIE 202
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1845
Mailing Address - Country:US
Mailing Address - Phone:205-823-1901
Mailing Address - Fax:205-823-9914
Practice Address - Street 1:600 MONTGOMERY HWY
Practice Address - Street 2:SUTIE 202
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1845
Practice Address - Country:US
Practice Address - Phone:205-823-1901
Practice Address - Fax:205-823-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy