NPIMap

Organization Active NPI

Rebound Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Hueytown, AL
National Provider Identifier
1003841453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1371 Issued in AL
Legal business name
REBOUND PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Practice address
3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone
(205) 744-9889
Fax
(205) 744-9225
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy Gazdag, PT
Title
Managing Member
Phone
(205) 744-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTH1371 AL Primary

Addresses

Primary practice location

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317

Mailing address

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317
Phone (205) 744-9889

National Provider Directory

National Provider Directory

Locations

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-9889

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003841453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-744-9889",
            "fax_number": "205-744-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-744-9889",
            "fax_number": "205-744-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAZDAG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "205-744-9889",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.