Individual provider Active NPI

Trina Wunderlich, DPT

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1124506746
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9040 Issued in AL
Practice address
7559 Highway 72 W Ste 100
Madison, AL 35758-8811
Phone
(256) 772-9155
Fax
(256) 772-9154
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 PTH9040 AL Primary

Addresses

Primary practice location

7559 Highway 72 W Ste 100
Madison, AL 35758-8811

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

14945 E Limestone Rd Ste B
Harvest, AL 35749-7394
Phone (256) 998-5102

Other practice location 2

28235 Al Highway 53
Ardmore, AL 35739-8703
Phone (256) 943-1426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023003704 AL Practitioner - Physical Therapist in Private Practice 9537412481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nesin Therapy Services, P.C.Group PAC ID 4082697040, 13 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

12181 County Line Rd
Suite 150
Madison, AL 35758-7712
Phone (256) 461-9654

7559 Hwy 72 W
Suite 110C
Madison, AL 35758-8815
Phone (256) 772-9155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9040ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Feb 28, 2022 Accepting new patients

Locations

28235 AL Highway 53
Ardmore, AL 35739
Phone (256) 233-2332

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

14945 E Limestone Rd
Ste B
Harvest, AL 35749
Phone (256) 998-5102

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

7559 Highway 72 W
Ste 110C
Madison, AL 35758
Phone (256) 772-9155

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1124506746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 HIGHWAY 72 W STE 100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588811",
            "telephone_number": "256-772-9155",
            "fax_number": "256-772-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14945 E Limestone Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Harvest",
            "state": "AL",
            "postal_code": "357497394",
            "country_code": "US",
            "telephone_number": "256-998-5102",
            "fax_number": "256-998-5046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28235 Al Highway 53",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "AL",
            "postal_code": "357398703",
            "country_code": "US",
            "telephone_number": "256-943-1426",
            "fax_number": "256-943-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "TRINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.