MEDICARE: TODD RYAN HOOKS P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT-013175	OH
2	225100000X	Physical Therapist	PTH2791	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51532485	OTHER	AL	BCBS OF AL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5773741	OTHER	AL	AETNA

General Provider Information

NPI Number	:	1093734105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD RYAN HOOKS P.T.

Provider Business Mailing Address
First Line	:	10 OFFICE PARK CIR STE 100
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2545
Country	:	US
Telephone Number	:	205-229-9309
Fax Number	:	205-383-1251

Provider Business Practice Location Address
First Line	:	10 OFFICE PARK CIR STE 100
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2545
Country	:	US
Telephone Number	:	52-299-3092
Fax Number	:	205-383-1251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/07/2023

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