Easter Seals Alabama, Inc. Easter Seals West Alabama

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

12008 Issued in AL

Legal business name

EASTER SEALS ALABAMA, INC. EASTER SEALS WEST ALABAMA

Practice address

1110 Dr. Edward Hillard Drive
Tuscaloosa, AL 35401-3207

Phone

(205) 759-1211

Fax

(205) 349-1162

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Ronny B. Johnston

Title

Administrator

Phone

(205) 759-1211

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Easter Seals West Alabama Doing business as

Practitioners 6

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

• Adrian Daren Cameron, LPTA

  • Physical Therapy Assistant
  • Tuscaloosa, AL
  • NPI 1851496772
  NPD (past)
• Courtney Duff Harrison, O.T.

  • Occupational Therapist
  • Tuscaloosa, AL
  • NPI 1104944156
  NPD (past)
• Rohaun Smith Green, ROT

  • Occupational Therapist
  • Tuscaloosa, AL
  • NPI 1942305859
  NPD (past)
• Latoya Hodge Thomas, COTA

  • Occupational Therapy Assistant
  • Tuscaloosa, AL
  • NPI 1932205069
  NPD (past)
• Taurus G. Turner, P.T.A

  • Physical Therapy Assistant
  • Tuscaloosa, AL
  • NPI 1396915864
  NPD (past)
• Barbara Kawecki Wells, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Tuscaloosa, AL
  • NPI 1093810988
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1972608941",
    "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": "1110 DR. EDWARD HILLARD DRIVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013207",
            "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": "2006-09-14",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-759-1211"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AL",
            "license": "12008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "515-31066",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51531482",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "010-175",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529101420",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "010-175",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51077985",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51515014",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51533901",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals West Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ear Nose and Throat Associates of
• Andrea Early, LICSW-S
• Rachel Dayton Earnest
• Earthly Angels Personal Care Service LLC
• Easter Seals Alabama, Inc. Easter Seals West Alabama
• Tracy Diane Eatman, CRT
• Sara Michelle Eaton, CRNP
• Bethany Holden Edgeworth, CRNP
• Angela Ware Edwards, LGSW
• Jerome Edwards, CPHT

• Rehabilitation Clinic/Center in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Rehabilitation Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.