NPIMap

Organization Active NPI

Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Rogersville, AL
National Provider Identifier
1114473626
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY-ALABAMA, LLC
Practice address
16390 Highway 72
Rogersville, AL 35652-8103
Phone
(256) 247-1708
Fax
(256) 247-5798
NPI assigned
Aug 26, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Eric J Williams
Title
President and Ceo
Phone
(717) 220-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

16390 Highway 72
Rogersville, AL 35652-8103

Mailing address

2531 Rocky Ridge Rd
Suite 101
Vestavia, AL 35243-4415
Phone (205) 978-7376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150417000513 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395970560 Receives reassigned benefits from 242 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bessemer, AL; Vestavia, AL; Tuscaloosa, AL; Trussville, AL; Talladega, AL; Rainbow City, AL; Prattville, AL; Oneonta, AL…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory

Locations

2703 Legends Pkwy
Prattville, AL 36066
Phone (334) 380-4930

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1114473626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 ROCKY RIDGE RD",
            "address_2": "SUITE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434415",
            "telephone_number": "205-978-7376",
            "fax_number": "205-978-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528103",
            "telephone_number": "256-247-1708",
            "fax_number": "256-247-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY-ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.