Active NPI
Patrick Carroll
- Physical Therapist
- Auburn, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9014
- Practice address
- 1530 E Glenn Ave Ste C
Auburn, AL 36830-5730 - Phone
- (334) 502-7839
- NPI assigned
- Sep 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9014 | AL | Primary |
Addresses
Primary practice location
1530 E Glenn Ave Ste C
Auburn, AL 36830-5730
Mailing address
2823 Greystone Comm Blvd
Birmingham, AL 35242
Phone (205) 745-3660
Other practice location 1
1944 Canyon Rd Ste 100
Vestavia Hills, AL 35216-1761
Phone (205) 822-7607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190321001260 | AL | Practitioner - Physical Therapist in Private Practice | 7517207996 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.77 of 100
- Quality
- 87.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9014 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South Auburn LLC | Physical Therapist | Current | Accepting new patients |
| Therapy South LLC - Fultondale | Physical Therapist | Current | Accepting new patients |
| Therapy South - Opelika LLC | Physical Therapist | Current | Accepting new patients |
| Therapy South LLC Fultondale | Physical Therapist | Past | Accepting new patients |
Locations
1530 E Glenn Ave
Ste C
Auburn, AL 36830
Phone (334) 502-7839
3471 Lowery Pkwy
Ste 107
Fultondale, AL 35068
Phone (205) 849-6566
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
2701 Frederick Rd
Ste 310
Opelika, AL 36801
Phone (334) 610-0354
Organizations & group practices 4
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.
-
- Physical Therapist
- Fultondale, AL
- NPI 1972787687
AL, Physical Therapist
-
- Physical Therapist
- Fultondale, AL
- NPI 1346424769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1053894733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 GREYSTONE COMM BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35242",
"telephone_number": "205-745-3660",
"fax_number": "205-745-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 E GLENN AVE STE C",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305730",
"telephone_number": "334-502-7839"
}
],
"practiceLocations": [
{
"address_1": "1944 Canyon Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Vestavia Hills",
"state": "AL",
"postal_code": "352161761",
"country_code": "US",
"telephone_number": "205-822-7607",
"fax_number": "205-822-7614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.