Organization Active NPI

Applied Functional Physical Therapy

  • Physical Therapy Clinic/Center
  • Rainbow City, AL
National Provider Identifier
1043895469
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
APPLIED FUNCTIONAL PHYSICAL THERAPY
Practice address
3225 Rainbow Dr Ste 207
Rainbow City, AL 35906-5859
Phone
(256) 390-3916
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Michael CazenaveNPI 1396780474
Title
Physical Therapist
Phone
(256) 390-3916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3225 Rainbow Dr Ste 207
Rainbow City, AL 35906-5859

Mailing address

608 Berkshire CT
Rainbow City, AL 35906-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210922000877 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800205691 Receives reassigned benefits from 1 practitioner
Practice locations: Rainbow City, AL

National Provider Directory

National Provider Directory

Locations

3225 Rainbow Dr
Ste 207
Rainbow City, AL 35906
Phone (256) 390-3916

Practitioners & affiliated clinicians

Practitioners 1

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1043895469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BERKSHIRE CT",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 RAINBOW DR STE 207",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065859",
            "telephone_number": "256-390-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED FUNCTIONAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "CAZENAVE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "256-390-3916"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.