Emily Larue

Individual provider Active NPI Physical Therapist · Warrior, AL

NPI 1114303997 · NPPES record last updated Aug 4, 2015

Key facts

NPI
1114303997
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTH7676 (AL)
Practice address
1387 State Highway 160
Warrior, AL 35180-4437
Phone
(205) 647-6849
Fax
(205) 647-4574
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 57

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 57

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, Inc (182 clinicians)

Practice addresses (Care Compare)

1794 S Bethel Rd
Suite C
Decatur, AL 35603-5410
Phone (256) 274-6582

2506 Danville Rd SW
Suite 200B
Decatur, AL 35603-4234
Phone (256) 350-6331

5643 Sermon Rd S
B
Theodore, AL 36582-3608
Phone (251) 660-1505

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151105001461 AL Practitioner - Physical Therapist in Private Practice 1153631080 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PTH7676ALMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Physical Therapist Current
since Sep 1, 2015
Accepting new patients
Encore Rehabilitation, Inc Physical Therapist Current
since Sep 1, 2015
Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabiliation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc Physical Therapist Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabiliation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

1387 State Highway 160
Warrior, AL 35180
Phone (205) 647-6849

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7676 AL Yes

Addresses

Primary practice location

1387 State Highway 160
Warrior, AL 35180-4437

Mailing address

251 Johnston St SE Ste 300
Decatur, AL 35601-2515
Phone (256) 340-9708

Other identifiers

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Other providers in Warrior, AL

All providers in Warrior, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.