Therapy South Soho LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPY SOUTH SOHO LLC

Practice address

2610 19TH St S
Homewood, AL 35209-1914

Phone

(205) 558-6400

Fax

(205) 558-6405

NPI assigned

Oct 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hannah Kelly

Title

Credentialing Specialist

Phone

(205) 745-3660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Networks

• AL HMO D-SNP

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Crain

  • Physical Therapist
  • Homewood, AL
  • NPI 1861018483
  Medicare reassignment Care Compare group NPD
• Andrew Darwin

  • Physical Therapist
  • Hoover, AL
  • NPI 1366925984
  Medicare reassignment Care Compare group NPD
• Luke Dobbins, DPT

  • Physical Therapist
  • Homewood, AL
  • NPI 1346080074
  Medicare reassignment Care Compare group NPD
• Phillip J Moore, DPT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1265786800
  Medicare reassignment Care Compare group NPD
• Brandon Regan, DPT

  • Physical Therapist
  • Crystal Lake, IL
  • NPI 1639851058

  AL

  Medicare reassignment Care Compare group NPD
• Carlie Henry, PT

  • Physical Therapist
  • Hoover, AL
  • NPI 1881087278
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1003457482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 19TH ST S",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352091914",
            "telephone_number": "205-558-6400",
            "fax_number": "205-558-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOUTH SOHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-745-3660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE NUMBER",
            "identifier": "2055586400",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Jamesha Terrell, N/A
• David Lawrence Tharpe, MD
• Ghulam Hussain Thaver, MD
• The Muscle Joint, LLC
• The Wellness Trap, LLC
• Bailey Elizabeth Thomas, OTD, OTR/L
• Bradley Thomas, NP
• Martha B. Thomas, R.N.
• Melissa Thornton Thomas, LICSW, PIP
• Patrice Delayne Thomas, MS, LPC

• Physical Therapist in Homewood, AL
• Providers in Homewood, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.