STRONG STANCE ORTHOTICS & FITNESS (NPI# 1063825412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063825412 |
| Entity Type | Organization |
| Organization Name | STRONG STANCE ORTHOTICS & FITNESS |
| Other Organization Name | PROGRESSIVE ATHLETIC DEVELOPMENT |
| Practice Address |
1529 Bessemer Rd Birmingham AL 35208-4016 |
| Mailing Address |
495 Heatherwood Dr Hoover AL 35244-3221 |
| Practice Telephone | 2052499793 |
| Mailing Telephone | 2052499793 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | MR. DEDRICK LANARD AGEE (OWNER) |
| Authorized Official Telephone | 2052499793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 583 | AL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Progressive Athletic Development | Former Legal Business Name - Organization |
| Street Address |
1529 BESSEMER RD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35208-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013028828 | Ag Podiatric Specialist and Associates | Podiatrist | 1529 Bessemer Rd, Birmingham, AL 35208-4016 | 2006-08-31 |
| 1982116950 | Ronald David Agee II | Podiatrist | 1529 Bessemer Rd, Birmingham, AL 35208-4016 | 2017-10-31 |
| 1407037955 | Ronald David Agee | Podiatrist | 1529 Bessemer Rd, Birmingham, AL 35208-4016 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030377 | Angelica Winston | Technician | 2042 48th Pl Ensley, Birmingham, AL 35208 | 2020-07-13 |
| 1275189276 | Mary Ruth Dowdell | Technician | 1605 Bush Blvd, B'ham, AL 35208 | 2019-08-15 |
| 1184161937 | Chernise Camberian Whitaker | Licensed Practical Nurse | 2561 29st Ensley, Birmingham, AL 35208 | 2017-01-31 |
| 1669884011 | Delores Johnson | Specialist | 1760-50th Street West, Birmingham, AL 35208 | 2014-05-20 |
| 1215193750 | Gilbert Robbins IIi | Counselor | 1570 Bessemer Road, The Counseling Center, Birmingham, AL 35208 | 2008-08-04 |
| 1508020421 | Richard E Morgan Sr. | Dentist | 3041 Ensley Av, Birmingham, AL 35208 | 2008-07-10 |
| 1235342379 | Morris Lee Panter | Chiropractor | 1401 3rd Ave, West, Suite 108, Birmingham, AL 35208 | 2007-05-07 |
| 1922105832 | Thomas Allen Quinn | Pharmacist | 2200 Bessemer Hwy, Winn Dixie Pharmacy # 0405, Birmingham, AL 35208 | 2006-09-20 |
| 1598849135 | Sara Harper Nauck | Pharmacist | 2220 Bessemer Hwy, Birmingham, AL 35208 | 2006-10-24 |
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| Find all providers in zip 35208 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35208 |
Please comment or provide details below to improve the information on STRONG STANCE ORTHOTICS & FITNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.