| Therapy South Soho Llc | |
|
2610 19th St S, Homewood, AL 35209-1914 | |
| (205) 558-6400 | |
| (205) 558-6405 |
| Full Name | Therapy South Soho Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2610 19th St S, Homewood, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003457482 | NPI | - | NPPES |
| 2055586400 | Other | AL | PHONE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Phillip J Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265786800 PECOS PAC ID: 3173776085 Enrollment ID: I20121228000418 |
| Provider Name | Carlie Henry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881087278 PECOS PAC ID: 2163786906 Enrollment ID: I20180503001052 |
| Provider Name | Sara Samchok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043842057 PECOS PAC ID: 5395174023 Enrollment ID: I20200401001653 |
| Provider Name | Steven Crain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861018483 PECOS PAC ID: 4486078490 Enrollment ID: I20200723001998 |
| Provider Name | Brandon Regan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639851058 PECOS PAC ID: 5496101511 Enrollment ID: I20231026000632 |
| Provider Name | Luke Dobbins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346080074 PECOS PAC ID: 7113462334 Enrollment ID: I20240712000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy South Soho Llc 2823 Greystone Commercial Blvd, Birmingham, AL 35242-2660 Ph: (205) 745-3660 | Therapy South Soho Llc 2610 19th St S, Homewood, AL 35209-1914 Ph: (205) 558-6400 |
Dr. Mallory Wilson Rickard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr Ste 300b, Homewood, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 | |
Mary Ruth Tucker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3401 Independence Dr Ste 211, Homewood, AL 35209 Phone: 205-802-8537 | |
Beverly Puryear Bright, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3401 Independence Dr Ste 211, Homewood, AL 35209 Phone: 205-968-1283 Fax: 205-968-1285 | |
Johanna Hayes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Royal Tower Dr, Homewood, AL 35209 Phone: 205-942-6820 | |
Ms. Elizabeth Stewart Moorman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 Goodwin Crest Dr, Suite 300, Homewood, AL 35209 Phone: 205-290-4550 Fax: 205-290-4560 | |
Alan Charles Bigbee, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1045 Broadway Park, Homewood, AL 35209 Phone: 205-573-6278 Fax: 205-573-6280 |