| Name: | A.C.T. Physical Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Dec 2005 (19 years ago) |
| Entity Number: | 000-472-096 |
| Register Number: | 000472096 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOOVER, AL |
| Registered Office Street Address: | 1310 ALFORD AVE STE 200HOOVER, AL 35226 |
| Registered Office Street Address ZIP Code: | 35226 |
Activities
PHYSICAL THERAPY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326133463 | 2006-10-04 | 2010-03-11 | PO BOX 661495, BIRMINGHAM, AL, 352661495, US | 1310 ALFORD AVE, SUITE 102, HOOVER, AL, 352263199, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 205-824-8850 |
| Fax | 2058248853 |
Authorized person
| Name | ILENE P HAYES |
| Role | CO-OWNER |
| Phone | 2058248850 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529927480 |
| State | AL |
| Issuer | RAILROAD MEDICARE GROUP # |
| Number | DF0049 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HAYES, ILENE P | Member | 1301 AL SEIER LANEHOOVER, AL 35226 |
| MCKIE, CHARLES H | Member | 1925 STRAWBERRY LANEHOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| HAYES, ILENE P | Agent | 1301 AL SEIER LANEHOOVER, AL 35226 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
