Strong Stance Orthotics & Fitness

Primary specialty

SpecialistTaxonomy code 174400000X

License

583 Issued in AL

Legal business name

STRONG STANCE ORTHOTICS & FITNESS

Practice address

1529 Bessemer Rd
Birmingham, AL 35208-4016

Phone

(205) 249-9793

NPI assigned

Jun 3, 2014

Last updated

Jun 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dedrick Lanard AgeeNPI 1508280157

Title

Owner

Phone

(205) 249-9793

Specialties & licenses 1

Addresses

Other names 1

• Progressive Athletic Development Former legal business name

Practitioners 1

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.

• Dedrick Agee

  • Specialist
  • Hoover, AL
  • NPI 1508280157
  NPD (past) Authorized official

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1063825412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HEATHERWOOD DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443221",
            "telephone_number": "205-249-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 BESSEMER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084016",
            "telephone_number": "205-249-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG STANCE ORTHOTICS & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "DEDRICK",
        "authorized_official_middle_name": "LANARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-249-9793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Athletic Development",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joshua Timothy Stripling, M.D.
• Kristi Stripling, NNP
• Strive Counseling Services, L.L.C.
• Strive Medical, LLC
• Shane Strom
• Jackson Strong
• James L Strong, MD
• Jonathan Strong, M.D.
• Karrissa Marshell Strong, MSN, RN
• Katharyn Lindborg Strong, MD

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.