Active NPI
Ethan White, MSPT
- Physical Therapist
- Birmingham, AL
National Provider Identifier
1154414167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH2033
- Practice address
- 3125 Independence Drive
300B
Birmingham, AL 35209 - Phone
- (205) 879-7501
- Fax
- (205) 879-0675
- NPI assigned
- Oct 2, 2006
- Last updated
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH2033 | AL | Primary |
Addresses
Primary practice location
3125 Independence Drive
300B
Birmingham, AL 35209
Mailing address
3125 Independence Drive
300B
Birmingham, AL 35209
Phone (205) 879-7501
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6400002 | Other | AL | UNITED HEALTH CARE |
| 51094044 | Other | AL | BLUE CROSS |
| 418961932 | Other | AL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.2 of 100
- Quality
- 95.91
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH2033 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ew Motion Therapy Liberty Park LLC | Physical Therapist | Current | Accepting new patients |
| Ew Motion Therapy Homewood LLC | Physical Therapist | Current | Accepting new patients |
| Ew Motion Therapy Meadowbrook LLC | Physical Therapist | Current | Accepting new patients |
Locations
3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770
4 Office Park Cir
Ste 217
Mountain Brk, AL 35223
Phone (205) 263-2770
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Birmingham, AL
- NPI 1316034721
-
- Physical Therapist
- Mountain BRK, AL
- NPI 1013645357
-
- Physical Therapist
- Hoover, AL
- NPI 1407512114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1154414167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 INDEPENDENCE DRIVE",
"address_2": "300B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-879-7501",
"fax_number": "205-879-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 INDEPENDENCE DRIVE",
"address_2": "300B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-879-7501",
"fax_number": "205-879-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ETHAN",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH2033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "6400002",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51094044",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "418961932",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.