=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922273259
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANITA ERB PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2008
-----------------------------------------------------
Last Update Date | 12/22/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14224 US HIGHWAY 431
-----------------------------------------------------
City | GUNTERSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35976-2541
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-582-3020
-----------------------------------------------------
Fax | 256-582-4009
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 927 FRANKLIN ST SE 2ND FLOOR
-----------------------------------------------------
City | HUNTSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35801-4306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-428-3000
-----------------------------------------------------
Fax | 256-428-3003
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PTH2218
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------