Individual provider Active NPI

Preston Fournier, DPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1073031886
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9227 Issued in AL
Practice address
2050 Gadsden Hwy Ste 104
Birmingham, AL 35235-3260
Phone
(205) 655-7231
Fax
(205) 655-7232
NPI assigned
Aug 31, 2017
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9227 AL Primary

Addresses

Primary practice location

2050 Gadsden Hwy Ste 104
Birmingham, AL 35235-3260

Mailing address

612 Marr Dr
Signal Mountain, TN 37377-2228
Phone (941) 920-7165

Other practice location 1

1100 E 3rd St Ste G-103
Chattanooga, TN 37403-2241
Phone (423) 778-2930

Other names 1

  • Preston Tam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181024000759 AL Practitioner - Physical Therapist in Private Practice 7012260870 Reassigns benefits to 1 organization
I20230711000902 TN Practitioner - Physical Therapist in Private Practice 7012260870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9227ALMDPhysical Therapist
15033TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Dec 17, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Sep 10, 2018 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jun 5, 2023 Accepting new patients
Erlanger Health CurrentSince Dec 17, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Sep 10, 2018 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jun 5, 2023 Accepting new patients

Locations

5285 Highway 280
Ste 109
Birmingham, AL 35242
Phone (205) 607-0903

5541 Grove Blvd
Ste C2
Hoover, AL 35226
Phone (205) 277-6870

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5541 Grove Blvd
#C2
Hoover, AL 35226
Phone (205) 277-6870

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

1100 E 3rd St
Ste G103
Chattanooga, TN 37403
Phone (423) 648-0698

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1073031886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MARR DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772228",
            "telephone_number": "941-920-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 GADSDEN HWY STE 104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353260",
            "telephone_number": "205-655-7231",
            "fax_number": "205-655-7232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E 3rd St Ste G-103",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032241",
            "country_code": "US",
            "telephone_number": "423-778-2930",
            "fax_number": "205-876-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "PRESTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRESTON",
            "last_name": "TAM",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.

Verify at the official NPI Registry.