Anthony Alan Southorn, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10005 Issued in AL

Practice address

1811 Dahlke Dr
Cullman, AL 35058-3625

Phone

(256) 739-1370

Fax

(256) 937-7229

NPI assigned

Feb 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab PT Al LLCGroup PAC ID 6002287802, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Rehab PT Al LLC

  • Physical Therapist
  • Huntsville, AL
  • NPI 1962128488
  Medicare reassignment Care Compare group NPD
• Austin Physical Therapy LLC

  • Physical Therapist
  • Huntsville, AL
  • NPI 1700102076
  Medicare reassignment NPD
• Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Gardendale, AL
  • NPI 1023440583
  Medicare reassignment NPD
• Proformance Therapy and Wellness LLC

  • Physical Therapist
  • Athens, AL
  • NPI 1942939731
  Medicare reassignment NPD
• Resilience PT and Performance

  • Physical Therapist
  • Brownsboro, AL
  • NPI 1346173598
  NPD Authorized official
• Drayer Physical Therapy Alabama LLC

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1417593625
  NPD
• Drayer Physical Therapy-Alabama, LLC

  • Physical Therapy Clinic/Center
  • Ardmore, AL
  • NPI 1376061952
  NPD
• Proformance Therapy and Wellness LLC

  • Physical Therapist
  • Huntsville, AL
  • NPI 1770064990
  NPD
• Austin Physical Therapy Specialists LLC

  • Physical Therapist
  • Austin, TX
  • NPI 1457614810
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1013540822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 DAHLKE DR",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583625",
            "telephone_number": "256-739-1370",
            "fax_number": "256-937-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14945 E Limestone Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Harvest",
            "state": "AL",
            "postal_code": "357497394",
            "country_code": "US",
            "telephone_number": "256-998-5102",
            "fax_number": "256-998-5046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28235 Al Highway 53",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "AL",
            "postal_code": "357398703",
            "country_code": "US",
            "telephone_number": "256-943-1426",
            "fax_number": "569-377-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHORN",
        "first_name": "ANTHONY",
        "middle_name": "ALAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10005",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1312829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHAB PT AL LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "11626 US Highway 90",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365268913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHAB PT AL LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "4200 Chris Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358024197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila J Sobotka, B.S.
• John Eugene Songer, M.D.
• Sonya Lash Hallmark, D.M.D, P.C.
• Southeastern Sleep Associates LLC
• Southern Medical Equipment, Corp
• Specialty Clinical Services LLC
• Sportsmed Orthopaedic Specialists, P.C.
• Jason Springer
• Michelle St. Marie, OT
• State of Alabama

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.