Community Rehab and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COMMUNITY REHAB AND PERFORMANCE

Practice address

560 Devall Dr Ste 201
Auburn, AL 36832-6655

Phone

(334) 209-1199

Fax

(334) 209-6036

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Steven V. Kisor, PTNPI 1093222341

Title

Owner, PT

Phone

(334) 209-1199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven V. Kisor

  • Physical Therapist
  • Auburn, AL
  • NPI 1093222341
  Medicare reassignment NPD Authorized official
• Katie Jackson, PT, DPT

  • Physical Therapist
  • Opelika, AL
  • NPI 1982576773
  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1144815382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 DEVALL DR STE 201",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368326655",
            "telephone_number": "334-209-1199",
            "fax_number": "334-209-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 DEVALL DR STE 201",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368326655",
            "telephone_number": "334-209-1199",
            "fax_number": "334-209-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHAB AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "KISOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "334-209-1199",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Auburn, AL
• Providers in Auburn, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.