Ethan White is a Physical Therapist in Birmingham, Alabama. Ethan White practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ethan White is 1154414167. The last update date is 2013-08-28.
Ethan White's current location address is 3125 Independence Drive, Birmingham, Alabama. You can contact this provider via phone number 2058797501 and fax number 2058790675. The mailing address for Ethan White is 3125 Independence Drive, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan White |
|---|---|
| Address | 3125 Independence Drive, Birmingham, Alabama |
| Phone Number | 2058797501 |
| Fax Number | 2058790675 |
| Sole Proprietor | N |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1154414167 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2013-08-28 |
Provider Mailing Address Detail
| Address | 3125 Independence Drive |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 35209 |
| Phone Number | 2058797501 |
| Fax Number | 2058790675 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PTH2033 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6400002 | AL | UNITED HEALTH CARE | |
| 51094044 | AL | BLUE CROSS | |
| 418961932 | AL | TRICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ethan White?
The Ethan White has been issued the NPI (National Provider Identifier) 1154414167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ethan White?
The Ethan White is physically situated at 3125 Independence Drive, in the city of Birmingham, state of AL, with the postal code 35209.
What is Ethan White's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ethan White is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Ethan White receive the assignment of its 1154414167 from the Centers for Medicare & Medicaid Services?
The Ethan White was issued its 1154414167 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information pertaining to Ethan White most recently updated or revised?
The details related to Ethan White, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-28.