=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346120730
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW ERA PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2025
-----------------------------------------------------
Last Update Date | 09/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 626 US HIGHWAY 278 BYP E STE B
-----------------------------------------------------
City | PIEDMONT
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36272-1458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-693-5034
-----------------------------------------------------
Fax | 256-562-8338
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3086
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36203-0086
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-693-5034
-----------------------------------------------------
Fax | 256-562-8338
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RYAN HUFF
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 256-693-5034
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------