NPIMap

Organization Active NPI

Divergent Therapy Services LLC

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1073368775
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DIVERGENT THERAPY SERVICES LLC
Practice address
1976 Gadsden Hwy Ste 208
Birmingham, AL 35235-3266
Phone
(256) 283-1891
NPI assigned
Apr 17, 2024
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Abby HedgepathNPI 1316697535
Title
Owner
Phone
(256) 283-1891

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1976 Gadsden Hwy Ste 208
Birmingham, AL 35235-3266

Mailing address

101 Cahaba Forest Dr
Trussville, AL 35173-2083
Phone (256) 283-1891

Other practice location 1

101 Cahaba Forest Dr
Trussville, AL 35173-2083
Phone (256) 283-1891

Other practice location 2

1389 8th St
Leeds, AL 35094-2265
Phone (205) 202-1239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240618001497 AL Part B Supplier - Clinic/Group Practice 0840733978 Receives reassigned benefits from 3 practitioners
Practice locations: Leeds, AL; Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1976 Gadsden Hwy
Ste 208
Birmingham, AL 35235
Phone (205) 202-1239

1389 8th St
Leeds, AL 35094
Phone (205) 202-1239

Practitioners & affiliated clinicians

Practitioners 8

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": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1073368775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAHABA FOREST DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732083",
            "telephone_number": "256-283-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GADSDEN HWY STE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353266",
            "telephone_number": "256-283-1891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cahaba Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Trussville",
            "state": "AL",
            "postal_code": "351732083",
            "country_code": "US",
            "telephone_number": "256-283-1891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1389 8th St",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "AL",
            "postal_code": "350942265",
            "country_code": "US",
            "telephone_number": "205-202-1239",
            "fax_number": "205-719-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERGENT THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "HEDGEPATH",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-283-1891"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "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 Mar 27, 2025; 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.