MEDICARE: MR. JON PAUL CHURCH MSPT, ATC

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	PTH3279	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51516141	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1528138500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JON PAUL CHURCH MSPT, ATC

Provider Business Mailing Address
First Line	:	335 NEW HOPE MOUNTAIN RD
Second Line	:
City	:	INDIAN SPRINGS
State	:	AL
Zip	:	35124-3719
Country	:	US
Telephone Number	:	205-824-0610
Fax Number	:	205-824-6263

Provider Business Practice Location Address
First Line	:	2090 COLUMBIANA RD
Second Line	:	SUITE 1000
City	:	VESTAVIA
State	:	AL
Zip	:	35216-2153
Country	:	US
Telephone Number	:	205-824-0610
Fax Number	:	205-824-6263

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1538176839 — DAVID P BLEDSOE OTR
Practice Location Address:

2090 COLUMBIANA RD , 1900
VESTAVIA HILLS, AL
35216-2153

Practice Phone: 205-978-2358
Practice Fax: 205-978-2367

1578633541 — MISS LEANNE R CHURCH MSPT
Practice Location Address:

2090 COLUMBIANA RD , SUITE 1000
VESTAVIA, AL
35216-2153

Practice Phone: 205-824-0610
Practice Fax: 205-824-6263

1447388715 — MS. JANE G. DICKERSON R.PH.
Practice Location Address:

2090 COLUMBIANA RD STE 1200
VESTAVIA HILLS, AL
35216-2153

Practice Phone: 205-552-1702
Practice Fax: 205-521-7085

1295850642 — NAPHCARE U.S., INC.
Practice Location Address:

2090 COLUMBIANA RD , SUITE 4000
VESTAVIA, AL
35216-2153

Practice Phone: 205-536-8400
Practice Fax: 205-536-8404

1700126778 — RICHARD APOLLO RN
Practice Location Address:

2090 COLUMBIANA RD , STE 1100
VESTAVIA, AL
35216-2153

Practice Phone: 205-536-8487
Practice Fax:

1750750519 — BRIDGET RUDOLPH ROSCOE
Practice Location Address:

2090 COLUMBIANA RD , STE 4000
VESTAVIA, AL
35216-2153

Practice Phone: 205-536-8400
Practice Fax:

Directions to “ MR. JON PAUL CHURCH MSPT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.