NPIMap

Organization Active NPI

Concentra Medical Center

  • Physical Therapy Clinic/Center
  • Birmingham, AL
National Provider Identifier
1104012087
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2021 Issued in AL
Legal business name
CONCENTRA MEDICAL CENTER
Practice address
2500 4TH Ave S
Birmingham, AL 35233-2521
Phone
(205) 263-5800
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Leesa Miles
Title
Physical Therapist
Phone
(205) 263-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2021 AL Primary

Addresses

Primary practice location

2500 4TH Ave S
Birmingham, AL 35233-2521

Mailing address

2500 4TH Ave S
Birmingham, AL 35233-2521

National Provider Directory

National Provider Directory
Tax ID family
Concentra Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1104012087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 4TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 4TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332521",
            "telephone_number": "205-263-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "LEESA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "205-263-5800"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "2021",
            "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 Sep 24, 2007; 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.