Brittney Quintera Davis
Individual provider Active NPI Physical Therapist · Hazel Green, AL
NPI 1104395342 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1104395342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH9211 (AL)
- Practice address
- 13596 Highway 231 431 N Ste 7
Hazel Green, AL 35750-8618 - Phone
- (256) 828-0312
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190122003508 | AL | Practitioner - Physical Therapist in Private Practice | 3072850502 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9211 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - the Orthopaedic Center, LLC | Current |
Accepting new patients | |
| The Orthopaedic Center | Current |
Accepting new patients |
Locations
13596 Highway 231 431 N
Ste 7
Hazel Green, AL 35750
Phone (256) 828-0312
927 Franklin St SE
Fl 1
Huntsville, AL 35801
927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000
927 Franklin St SE
Fl 5
Huntsville, AL 35801
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9211 | AL | Yes |
Addresses
Primary practice location
13596 Highway 231 431 N Ste 7
Hazel Green, AL 35750-8618
Mailing address
111 Raccoon Trce
Huntsville, AL 35806-4023
Phone (256) 721-6096
Other providers in Hazel Green, AL
- Melinda Kay Black
- John Christian Boyle
- Shonda S Brand
- Kathrine Rose Burke
- Daisy'S Senior Care
- Allyson Locke Dempsey
- Michael Thomas Drinkard
- James Patrick Duggan
- Colleen Marie Durham
- Jason Kyle East
All providers in Hazel Green, AL · Physical Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.