NPIMap

Organization Active NPI

Ew Motion Therapy Tuscaloosa, LLC

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1295112415
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EW MOTION THERAPY TUSCALOOSA, LLC
Practice address
401 22ND Ave Ste B
Tuscaloosa, AL 35401-1019
Phone
(205) 462-3097
Fax
(205) 764-9550
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Rachel Golden
Title
Business Manager
Phone
(205) 263-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

401 22ND Ave Ste B
Tuscaloosa, AL 35401-1019

Mailing address

4 Office Park Cir Ste 217
Mountain BRK, AL 35223-2674
Phone (205) 263-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151008001733 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426366527 Receives reassigned benefits from 6 practitioners
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

401 22nd Ave
Ste B
Tuscaloosa, AL 35401
Phone (205) 462-3097

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1295112415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR STE 217",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232674",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 22ND AVE STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011019",
            "telephone_number": "205-462-3097",
            "fax_number": "205-764-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EW MOTION THERAPY TUSCALOOSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "205-263-2770"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.