Provider Demographics
NPI:1699874370
Name:CAINE, BILLIE (PTA)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:
Last Name:CAINE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:
Other - Last Name:CAINE
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18 FOX HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2028
Mailing Address - Country:US
Mailing Address - Phone:205-835-8689
Mailing Address - Fax:
Practice Address - Street 1:1242 MARTIN ST S
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128-2310
Practice Address - Country:US
Practice Address - Phone:205-338-6106
Practice Address - Fax:205-814-9180
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA4458225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant