Robert Lewis Head II, DPT

Individual provider Active NPI Physical Therapist · Fultondale, AL

NPI 1124392311 · NPPES record last updated Mar 6, 2012

Key facts

NPI
1124392311
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTH6411 (AL)
Practice address
3471 Lowery Pkwy Ste 107
Fultondale, AL 35068-1681
Phone
(205) 849-6566
Fax
(205) 849-6563
NPI assigned
Mar 6, 2012
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapysouth Chelsea (10 clinicians)

Practice addresses (Care Compare)

100 Chelsea Corners Way
Suite 101
Chelsea, AL 35043-8207
Phone (205) 678-7272

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (individual)
Quality
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120329000180 AL Practitioner - Physical Therapist in Private Practice 9335309335 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South LLC - Fultondale Physical Therapist Current
since Mar 1, 2012
Accepting new patients
Therapy South LLC Fultondale Physical Therapist Past Accepting new patients

Locations

3471 Lowery Pkwy
Ste 107
Fultondale, AL 35068
Phone (205) 849-6566

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6411 AL Yes

Addresses

Primary practice location

3471 Lowery Pkwy Ste 107
Fultondale, AL 35068-1681

Mailing address

8550 Hidden Creek Dr
Gardendale, AL 35071-3232

Other providers in Fultondale, AL

All providers in Fultondale, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.