Individual provider Active NPI

Eric Ross Booth, DPT

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1093195950
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7664 Issued in AL
Practice address
100 Rice Mine Rd Loop Ste 102
Tuscaloosa, AL 35406-2423
Phone
(205) 539-3710
NPI assigned
Jun 5, 2015
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7664 AL Primary
Physical Therapist 225100000X 1-0774 AL
Orthopedic Physical Therapist 2251X0800X PT015562 GA

Addresses

Primary practice location

100 Rice Mine Rd Loop Ste 102
Tuscaloosa, AL 35406-2423

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

5431 Patrick Way Ste 101
Birmingham, AL 35235-3511
Phone (205) 508-2277

Other practice location 2

301 Margie Dr
Warner Robins, GA 31088-7818
Phone (478) 971-1153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106003239 AL Practitioner - Physical Therapist in Private Practice 6305102435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

100 Rice Mine Rd Loop
Suite 102
Tuscaloosa, AL 35406-2423
Phone (205) 539-3710

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-0774ALMDPhysical Therapist
PT015562GAMDOrthopedic Physical Therapist

Interoperability endpoints

  • Direct secure messaging: eric.booth.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 1

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1093195950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD LOOP STE 102",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062423",
            "telephone_number": "205-539-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5431 Patrick Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353511",
            "country_code": "US",
            "telephone_number": "205-508-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Margie Dr",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310887818",
            "country_code": "US",
            "telephone_number": "478-971-1153",
            "fax_number": "478-971-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "ERIC",
        "middle_name": "ROSS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7664",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "1-0774",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.