NPIMap

Organization Active NPI

Easter Seals Alabama, Inc. Easter Seals West Alabama

  • Rehabilitation Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1518638600
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA
Practice address
1400 James I Harrison Jr Pkwy E Ste 200
Tuscaloosa, AL 35405-2662
Phone
(205) 759-1211
Fax
(205) 349-1162
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Mr. Ronny B Johnston
Title
Executive Director
Phone
(205) 759-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1400 James I Harrison Jr Pkwy E Ste 200
Tuscaloosa, AL 35405-2662

Mailing address

PO Box 2817
Tuscaloosa, AL 35403-2817
Phone (205) 759-1211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1518638600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2817",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032817",
            "telephone_number": "205-759-1211",
            "fax_number": "205-349-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JAMES I HARRISON JR PKWY E STE 200",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052662",
            "telephone_number": "205-759-1211",
            "fax_number": "205-349-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-759-1211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "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 Sep 28, 2021; 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.