Healthcare Provider Details

I. General information

NPI: 1356266431
Provider Name (Legal Business Name): PHOEBE HURT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7626 SPANISH FORT BLVD
SPANISH FORT AL
36527-5376
US

IV. Provider business mailing address

7626 SPANISH FORT BLVD
SPANISH FORT AL
36527-5376
US

V. Phone/Fax

Practice location:
  • Phone: 251-929-4848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPTH12789
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: