Individual provider Active NPI

Timothy Brian McReath, RPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1043416308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2887 Issued in AL
Practice address
7047 Old Madison Pike NW
Huntsville, AL 35806-4500
Phone
(256) 922-9919
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTH2887 AL Primary

Addresses

Primary practice location

7047 Old Madison Pike NW
Huntsville, AL 35806-4500

Mailing address

14952 Lancelot Circle
Harvest, AL 35749
Phone (256) 783-5600

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTH2887ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043416308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14952 LANCELOT CIRCLE",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "35749",
            "telephone_number": "256-783-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 OLD MADISON PIKE NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064500",
            "telephone_number": "256-922-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREATH",
        "first_name": "TIMOTHY",
        "middle_name": "BRIAN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.