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EW Motion Therapy Homewood, LLC

Details

Name: EW Motion Therapy Homewood, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Dec 1999 (25 years ago) (Companies founded in December 1999)
Entity Number: 000-667-559
Register Number: 000667559
Historical Names: PT, LLC
Eskridge and White Physiotherapy, LLC
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Shelby County
Registered Office Street Address: 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209

Activities PROVIDE ADMINISTRATIVE SUPPORT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316034721 2006-10-06 2021-11-21 3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL, 35209, US 3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL, 35209, US

Contacts

Phone +1 205-879-7501
Fax 2052630994

Authorized person

Name MS. RACHEL L GOLDEN
Role OFFICE MAMAGER
Phone 2058797501

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Other Provider Identifiers

Issuer RAILROAD MEDICARE
Number DB3969
State AL

Member

Name Role Address
ESKRIDGE, MIKE Member No data
WHITE, ETHAN Member 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209
MCDONALD, WILLIAM Member 12289 LESTER TAYLOR RDNORTHPORT, AL 35475

Organizer

Name Role Address
WHITE, ETHAN Organizer 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209

Agent

Name Role Address
WHITE, ETHAN Agent 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209

Events

Event Date Event Type Old Value New Value
2015-06-26 Name Change Eskridge and White Physiotherapy, LLC EW Motion Therapy Homewood, LLC
2000-02-14 Name Change PT, LLC Eskridge and White Physiotherapy, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State