Active NPI
Catherine Wambua, P.T
- Physical Therapist
- Birmingham, AL
National Provider Identifier
1124285275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 1627
- Practice address
- 1515 6TH Ave S
Birmingham, AL 35233-1601 - Phone
- (205) 930-3397
- Fax
- (205) 930-3702
- NPI assigned
- May 16, 2008
- 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 1627 | AL | Primary |
Addresses
Primary practice location
1515 6TH Ave S
Birmingham, AL 35233-1601
Mailing address
1515 6TH Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3397
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 |
|---|---|---|---|
| PTH 1627 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1124285275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331601",
"telephone_number": "205-930-3397",
"fax_number": "205-930-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331601",
"telephone_number": "205-930-3397",
"fax_number": "205-930-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMBUA",
"first_name": "CATHERINE",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 1627",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.