NPIMap

Organization Active NPI

Nova Physical Therapy and Wellness, LLC

  • Orthopedic Physical Therapist
  • Birmingham, AL
National Provider Identifier
1073285342
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
NOVA PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
2821 2ND Ave S Ste E
Birmingham, AL 35233-2840
Phone
(205) 228-9575
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Laura Elizabeth Richardson, DPTNPI 1790082675
Title
Owner
Phone
(205) 228-9575

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

2821 2ND Ave S Ste E
Birmingham, AL 35233-2840

Mailing address

4312 5TH Ave S
Birmingham, AL 35222-2807
Phone (205) 228-9575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214000181 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779976824 Receives reassigned benefits from 5 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

2821 2nd Ave S
Ste E
Birmingham, AL 35233
Phone (205) 202-6078

Practitioners & affiliated clinicians

Practitioners 6

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": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1073285342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 5TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352222807",
            "telephone_number": "205-228-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 2ND AVE S STE E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332840",
            "telephone_number": "205-228-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-228-9575",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 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.