Active NPI
Angela J Sumrell, RPT
- Physical Therapist
- Orange Beach, AL
National Provider Identifier
1114017985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 4823
- Practice address
- 4528 Easy St
Suite a
Orange Beach, AL 36561-5845 - Phone
- (251) 981-1300
- Fax
- (251) 981-1305
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH 4823 | AL | Primary |
Addresses
Primary practice location
4528 Easy St
Suite a
Orange Beach, AL 36561-5845
Mailing address
1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 340-9708
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB9027 | Other | AL | RAILROAD MEDICARE FROUP |
| 1003819608 | Other | AL | NPI GROUP |
| 515-39070 | Other | AL | BCBS |
| 890019420 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH | AL | MD | Physical Therapist |
| PTH 4823 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation Inc | Past | Accepting new patients | |
| Encore Rehabilitation, Inc | Physical Therapist | Past | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Athens, AL
- NPI 1861527954
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1003819608
Physical Therapist
-
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1114017985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 FLINT RD SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356016031",
"telephone_number": "256-340-9708",
"fax_number": "256-340-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4528 EASY ST",
"address_2": "SUITE A",
"city": "ORANGE BEACH",
"state": "AL",
"postal_code": "365615845",
"telephone_number": "251-981-1300",
"fax_number": "251-981-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMRELL",
"first_name": "ANGELA",
"middle_name": "J",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 4823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE FROUP",
"identifier": "DB9027",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1003819608",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "515-39070",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890019420",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Beach, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.