Individual provider Active NPI

Ashley B Hibbard, MSPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1124046768
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4306 Issued in AL
Practice address
7191 Cahaba Valley Rd
Birmingham, AL 35242-6402
Phone
(205) 408-6555
Fax
(205) 408-6570
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH4306 AL Primary

Addresses

Primary practice location

7191 Cahaba Valley Rd
Birmingham, AL 35242-6402

Mailing address

7191 Cahaba Valley Rd
Birmingham, AL 35242-6402
Phone (205) 408-6555

Other identifiers 4

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL
051528425HIBOtherALMEDICARE ID-TYPE UNSPECIFIED
515-28425OtherALBCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830001047 AL Practitioner - Physical Therapist in Private Practice 3971534850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincents Ambulatory Healthcare Network LLCGroup PAC ID 1355608456, 9 clinicians

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 102
Hoover, AL 35242-6507
Phone (205) 408-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4306ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Oct 1, 2017 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Oct 1, 2017 Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients

Locations

50 Medical Park Dr E
Bldg 46
Birmingham, AL 35235
Phone (205) 838-5286

7191 Cahaba Valley Rd
Ste 102
Hoover, AL 35242
Phone (205) 408-6600

7191 Cahaba Valley Rd
Ste 107
Hoover, AL 35242
Phone (205) 408-6600

7191 Cahaba Valley Rd
Hoover, AL 35242
Phone (205) 408-6555

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1124046768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-408-6555",
            "fax_number": "205-408-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-408-6555",
            "fax_number": "205-408-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "051528425HIB",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "515-28425",
            "state": "AL"
        }
    ],
    "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 Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.