MEDICARE: A.C.T. PHYSICAL THERAPY. LLC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DF0049	OTHER	AL	RAILROAD MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326133463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.C.T. PHYSICAL THERAPY. LLC

Provider Business Mailing Address
First Line	:	PO BOX 661495
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35266-1495
Country	:	US
Telephone Number	:	205-979-5882
Fax Number	:	205-979-1248

Provider Business Practice Location Address
First Line	:	1310 ALFORD AVE
Second Line	:	SUITE 102
City	:	HOOVER
State	:	AL
Zip	:	35226-3199
Country	:	US
Telephone Number	:	205-824-8850
Fax Number	:	205-824-8853

Authorized Official
Title or Position	:	CO-OWNER
Name	:	ILENE P HAYES
Credential	:
Telephone Number	:	205-824-8850

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/11/2010

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Directions to “A.C.T. PHYSICAL THERAPY. LLC ” Practice Location

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