Provider Demographics
NPI:1295122083
Name:CONTI, COURTNEY SMITH (PTA)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:SMITH
Last Name:CONTI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:PRICE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:SUITE 385
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:205-975-4922
Mailing Address - Fax:205-934-4351
Practice Address - Street 1:1717 6TH AVE S
Practice Address - Street 2:SUITE 385
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1801
Practice Address - Country:US
Practice Address - Phone:205-975-4922
Practice Address - Fax:205-934-4351
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA7239225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant