Prohealth Physical Therapy, LLC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

PTH3406 Issued in AL

Legal business name

PROHEALTH PHYSICAL THERAPY, LLC

Practice address

1906 Glenn Blvd SW Ste 1000
Fort Payne, AL 35968-3547

Phone

(256) 997-9991

Fax

(256) 997-9950

NPI assigned

Jul 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Ann Hatch, P.T.A.

Title

Physical Therapy Assistant

Phone

(256) 997-9991

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Marshall Hatch Jr., PT

  • Physical Therapist
  • Fort Payne, AL
  • NPI 1437180809
  NPD (past)
• Kelly S Knowles, RPT

  • Physical Therapist
  • Snead, AL
  • NPI 1851326540
  NPD (past)
• William Chad Prince, MSPT

  • Physical Therapist
  • Anniston, AL
  • NPI 1275562654
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013114065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 GLENN BLVD SW STE 1000",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683547",
            "telephone_number": "256-997-9991",
            "fax_number": "256-997-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GLENN BLVD SW STE 1000",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683547",
            "telephone_number": "256-997-9991",
            "fax_number": "256-997-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "256-997-9991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AL",
            "license": "PTH3406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Diane Pierce, BS PHARM
• Tomas Quiambao Pineda,Jr., M.D.
• Emily Shirey Poff, LPC
• Premier Therapy, LLC
• Prohealth Physical Therapy
• Provision Health Services, LLC
• Debra Eaine Puckett, OTL
• Anna Lee Putman
• Caleb John Rackard, ALC
• Hannah Paige Rackard, MS, CCC-SLP

• Local Education Agency (LEA) in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Local Education Agency (LEA) in Alabama

• 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.