| Therapy South Liberty Park Llc | |
|
3800 River Run Dr, Suite 102, Birmingham, AL 35243-4701 | |
| (205) 970-2350 | |
| (205) 970-2165 |
| Full Name | Therapy South Liberty Park Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3800 River Run Dr, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730481029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Elisabeth May Douglass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972547636 PECOS PAC ID: 7911998927 Enrollment ID: I20050506000337 |
| Provider Name | Douglas E Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134234537 PECOS PAC ID: 8426053463 Enrollment ID: I20060925000471 |
| Provider Name | Nathan P Click |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891807525 PECOS PAC ID: 4082614136 Enrollment ID: I20070116000446 |
| Provider Name | Joshua S Steed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659411015 PECOS PAC ID: 4688779580 Enrollment ID: I20070423000158 |
| Provider Name | Kerrie A Girouard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861693814 PECOS PAC ID: 4880763416 Enrollment ID: I20080521000746 |
| Provider Name | Derek Vangerwen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386984094 PECOS PAC ID: 9739326760 Enrollment ID: I20130513000182 |
| Provider Name | Amanda Leigh Goodman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396156279 PECOS PAC ID: 2860617826 Enrollment ID: I20140707001300 |
| Provider Name | Carol Mastroianni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306209358 PECOS PAC ID: 0042518599 Enrollment ID: I20160415001637 |
| Provider Name | Kramer Hodges |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144776907 PECOS PAC ID: 3476826108 Enrollment ID: I20170831001920 |
| Provider Name | Katherine Stevens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285155713 PECOS PAC ID: 4385904853 Enrollment ID: I20180131002117 |
| 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 | Kimberly Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235761404 PECOS PAC ID: 5496183055 Enrollment ID: I20200312001560 |
| Provider Name | William Allen Engle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154076750 PECOS PAC ID: 2668867920 Enrollment ID: I20220323001307 |
| Provider Name | Amanda Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205518735 PECOS PAC ID: 4789047226 Enrollment ID: I20230830003387 |
| Provider Name | Susan Alexandra Preston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679305635 PECOS PAC ID: 0941738512 Enrollment ID: I20250109002797 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy South Liberty Park Llc 2823 Greystone Commercial Blvd, Birmingham, AL 35242-2660 Ph: (205) 745-3660 | Therapy South Liberty Park Llc 3800 River Run Dr, Suite 102, Birmingham, AL 35243-4701 Ph: (205) 970-2350 |
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 | |
Dr. Olivia Avalon Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3125 Independence Dr Ste 300b, Birmingham, AL 35209 Phone: 205-263-2770 Fax: 205-263-0994 | |
James Wallace Henry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-228-7631 |