Individual provider Active NPI

Elizabeth Wilsman, DPT

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1013407907
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8891 Issued in AL
Practice address
3421 S Shades Crest Rd Ste 107
Hoover, AL 35244-3551
Phone
(205) 987-6501
Fax
(205) 987-6503
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH8891 AL Primary

Addresses

Primary practice location

3421 S Shades Crest Rd Ste 107
Hoover, AL 35244-3551

Mailing address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8891ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1013407907",
    "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",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 S SHADES CREST RD STE 107",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443551",
            "telephone_number": "205-987-6501",
            "fax_number": "205-987-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSMAN",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.