Radius PT of Alabama LLC
Organization Active NPI Physical Therapy Clinic/Center · Trussville, AL
NPI 1124790480 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1124790480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- RADIUS PT OF ALABAMA LLC
- Practice address
- 7270 Gadsden Hwy # 104-108
Trussville, AL 35173-2640 - Phone
- (659) 444-1193
- Fax
- (205) 895-6639
- NPI assigned
- Oct 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Brad Keisling
- Title
- Director of Corporate Operations
- Phone
- (843) 441-0595
Practitioners 12
-
Robert Jared Cooper, DPT
-
William Jordan Howell, PT, DPT
-
William Wayne Serena Jr., PT, MSPT
-
Kevin Sodachanh, DPT
-
Nicholas J Stanton, PT, DPT
-
Kaci Mariah Bemowski, PT, DPT
-
Joseph Reece Bemowski, PT, DPT
-
Stacey Danielle Cole, PT, DPT
-
Ana Steidinger, PT
-
Shannon D Wolverton, DPT
-
Brad D Keisling, MSPT,CSCS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220318002331 | AL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3476948951 |
Receives reassigned benefits from 11 practitioners Practice locations: Moody, AL; Trussville, AL |
National Provider Directory
Locations
2208 Village Dr
Moody, AL 35004
Phone (555) 833-5378
7270 Gadsden Hwy
#104108
Trussville, AL 35173
Phone (659) 444-1193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Clinic/Center | 261Q00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
7270 Gadsden Hwy # 104-108
Trussville, AL 35173-2640
Mailing address
7270 Gadsden Hwy # 104-108
Trussville, AL 35173-2640
Phone (659) 444-1193
Other practice location 1
2208 Village Dr
Moody, AL 35004-3241
Phone (555) 833-5378
Other names
- Radius PT of Alabama LLC
- Legacy PT of Alabama LLC
Other providers in Trussville, AL
- Premier Urgent and Family Care
- Prestley-Allen, LLP
- Prohealth LTC-Trussville LLC
- Publix Alabama LLC
- Quest for Health Chiropractic
- Nereida J Ragazzoni
- Jameson Kenerly Ragsdale
- Brittney Otruba Randolph
- Idylla Realubit
- Angela Helms Redmond
All providers in Trussville, AL · Physical Therapy Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.