Individual provider Active NPI

Mary Ruth Tucker

  • Physical Therapist
  • Homewood, AL
National Provider Identifier
1043000250
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12269 Issued in AL
Practice address
3401 Independence Dr Ste 211
Homewood, AL 35209-5620
Phone
(205) 802-8537
NPI assigned
May 9, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 PTH12269 AL Primary

Addresses

Primary practice location

3401 Independence Dr Ste 211
Homewood, AL 35209-5620

Mailing address

717 Hillmoor LN
Homewood, AL 35209-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001081 AL Practitioner - Physical Therapist in Private Practice 4789170739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Group Alabama, LLCGroup PAC ID 0840534053, 9 clinicians

Practice addresses (Care Compare)

10 Old Montgomery Hwy
Suite 200
Birmingham, AL 35209-6797
Phone (205) 271-6511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12269ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Group Alabama, LLC CurrentSince Sep 20, 2025 Accepting new patients

Locations

10 Old Montgomery Hwy
Ste 200
Homewood, AL 35209
Phone (205) 271-6504

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1043000250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 HILLMOOR LN",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 INDEPENDENCE DR STE 211",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095620",
            "telephone_number": "205-802-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.