Active NPI
Gary R Caddell, MSPT
- Physical Therapist
- Hoover, AL
National Provider Identifier
1114157617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH2675
- Practice address
- 3141 Old Columbiana Rd
Hoover, AL 35226-3703 - Phone
- (205) 822-1580
- NPI assigned
- Jul 17, 2009
- Sex
- Male
- 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 | PTH2675 | AL | Primary |
Addresses
Primary practice location
3141 Old Columbiana Rd
Hoover, AL 35226-3703
Mailing address
245 Cahaba Valley Road
Suite 200
Pelham, AL 35124-2217
Phone (205) 942-6820
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH2675 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1114157617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY ROAD",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242217",
"telephone_number": "205-942-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 OLD COLUMBIANA RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352263703",
"telephone_number": "205-822-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADDELL",
"first_name": "GARY",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-17",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH2675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.