Outpatient Physical Therapy Simon Williamson Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PTH4676 Issued in AL

Legal business name

OUTPATIENT PHYSICAL THERAPY SIMON WILLIAMSON CLINIC

Practice address

832 Princeton Ave SW
Birmingham, AL 35211-1320

Phone

(205) 397-4949

Fax

(205) 397-4971

NPI assigned

Jul 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jana D Ellard

Title

PT Receptionist

Phone

(205) 397-4949

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1144673740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-397-4949",
            "fax_number": "205-397-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-397-4949",
            "fax_number": "205-397-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PHYSICAL THERAPY SIMON WILLIAMSON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "ELLARD",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PT RECEPTIONIST",
        "authorized_official_telephone_number": "205-397-4949"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AL",
            "license": "PTH4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Point of Service in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.