Carl Tilman Etheredge Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10797 Issued in AL

Practice address

1045 Broadway Park Ste 107
Homewood, AL 35209-6256

Phone

(205) 573-6278

Fax

(205) 573-6280

NPI assigned

Jan 24, 2022

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy of Alabama, LLCGroup PAC ID 5698930444, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1659642916

  AL

  Medicare reassignment Care Compare group NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  AL, Physical Therapist

  Medicare reassignment NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730831447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 BROADWAY PARK STE 107",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096256",
            "telephone_number": "205-573-6278",
            "fax_number": "205-573-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Colonial Promenade Pkwy Ste 4400",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350073197",
            "country_code": "US",
            "telephone_number": "205-358-1040",
            "fax_number": "205-358-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETHEREDGE",
        "first_name": "CARL",
        "middle_name": "TILMAN",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerge Child & Adolescent Psychological & Consulting Services, LLC
• Empower Family Solutions - LLC
• Rachel Anne Enslin, LCSW
• Envision Optics, LLC (Stanton Optical)
• Ryan Frederick Ernst
• Evergreen Counseling and Consulting LLC
• F.Y.I. Medical Supplies, Inc.
• Kyle Feagin, DMD, MS
• Emily Dolbare Feely, MD
• Joan Janelle Ferguson, RD, LD

• Physical Therapist in Homewood, AL
• Providers in Homewood, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.

Verify at the official NPI Registry.