| Mr Ethan White, MSPT | |
|
3125 Independence Drive, 300b, Birmingham, AL 35209 | |
| (205) 879-7501 | |
| (205) 879-0675 |
| Full Name | Mr Ethan White |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3125 Independence Drive, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154414167 | NPI | - | NPPES |
| 51094044 | Other | AL | BLUE CROSS |
| 6400002 | Other | AL | UNITED HEALTH CARE |
| 418961932 | Other | AL | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTH2033 (Alabama) | Primary |
| Provider Name | Ew Motion Therapy Homewood LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316034721 PECOS PAC ID: 3870584089 Enrollment ID: O20040518001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ethan White, MSPT 3125 Independence Drive, 300b, Birmingham, AL 35209 Ph: (205) 879-7501 | Mr Ethan White, MSPT 3125 Independence Drive, 300b, Birmingham, AL 35209 Ph: (205) 879-7501 |
Mary Katherine Walker, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7600 Fax: 205-639-0990 |
Ms. Jenesis C. Safford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 19th St S, Room 8307, Birmingham, AL 35233 Phone: 205-933-4390 |
Jason Cooper Grammer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr, Suite 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 |
Samantha Specht, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-7763 |
Ms. Robin Vanchina, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Independence Dr, 300b, Birmingham, AL 35209 Phone: 205-879-7501 Fax: 205-879-0675 |
Daniel Thomas Garrett, P.T, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2822 Lakeshore Pkwy, Birmingham, AL 35211 Phone: 205-848-6841 |
Dr. Olivia Avalon Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3125 Independence Dr Ste 300b, Birmingham, AL 35209 Phone: 205-263-2770 Fax: 205-263-0994 |