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