Organization Active NPI

Vulcan Performance Rehabilitation and Recovery LLC

  • Physical Therapist
  • Mountain BRK, AL
National Provider Identifier
1053822312
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8536 Issued in AL
Legal business name
VULCAN PERFORMANCE REHABILITATION AND RECOVERY LLC
Practice address
3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417
Phone
(205) 471-4438
NPI assigned
Oct 13, 2017
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Sean Allen Hiller, PT, DPT, CSCSNPI 1578087698
Title
Owner, Doctor of Physical Therapy
Phone
(205) 471-4438

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 Therapist 225100000X PTH8536 AL Primary

Addresses

Primary practice location

3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417

Mailing address

3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417
Phone (205) 761-1068

Other practice location 1

533 University Blvd Bldg A
Birmingham, AL 35205-4415
Phone (205) 471-4438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801000351 AL Part B Supplier - Clinic/Group Practice 0244566040 Receives reassigned benefits from 3 practitioners
Practice locations: Mountain BRK, AL

National Provider Directory

National Provider Directory

Locations

533 University Blvd
#A
Birmingham, AL 35205
Phone (205) 471-4438

3918 Montclair Rd
Ste 101
Mountain Brk, AL 35213
Phone (205) 471-4438

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1053822312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 101",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132417",
            "telephone_number": "205-761-1068",
            "fax_number": "205-719-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 101",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132417",
            "telephone_number": "205-471-4438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 University Blvd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352054415",
            "country_code": "US",
            "telephone_number": "205-471-4438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VULCAN PERFORMANCE REHABILITATION AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "205-471-4438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.