NPIMap

Organization Active NPI

Alabama Fyzical

  • Physical Therapy Clinic/Center
  • Northport, AL
National Provider Identifier
1043860893
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALABAMA FYZICAL
Practice address
4280 Watermelon Rd Ste 113
Northport, AL 35473-5163
Phone
(205) 343-7711
Fax
(205) 758-4415
NPI assigned
Sep 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Carlisle Stephenson, M.D.
Title
Partner
Phone
(205) 758-9041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4280 Watermelon Rd Ste 113
Northport, AL 35473-5163

Mailing address

1300 McFarland Blvd NE Ste 150
Tuscaloosa, AL 35406-2283
Phone (205) 758-9041

Other names 1

  • Fyzical Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204000234 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072946185 Receives reassigned benefits from 8 practitioners
Practice locations: Northport, AL

National Provider Directory

National Provider Directory

Locations

4280 Watermelon Rd
Ste 113
Northport, AL 35473
Phone (205) 349-2525

1300 McFarland Blvd NE
Ste 150
Tuscaloosa, AL 35406
Phone (205) 758-9041

1300 McFarland Blvd NE
Tuscaloosa, AL 35406
Phone (205) 752-0606

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1043860893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MCFARLAND BLVD NE STE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062283",
            "telephone_number": "205-758-9041",
            "fax_number": "205-758-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 113",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735163",
            "telephone_number": "205-343-7711",
            "fax_number": "205-758-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA FYZICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CARLISLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "205-758-9041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.