Organization Active NPI

Therapy South Auburn LLC

  • Physical Therapist
  • Auburn, AL
National Provider Identifier
1154746733
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
470699 Issued in AL
Legal business name
THERAPY SOUTH AUBURN LLC
Practice address
1530 E Glenn Ave Ste C
Auburn, AL 36830
Phone
(334) 502-7839
Fax
(334) 502-7879
NPI assigned
Feb 19, 2014
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Stephen Foster, PT
Title
President
Phone
(205) 745-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 470699 AL Primary

Addresses

Primary practice location

1530 E Glenn Ave Ste C
Auburn, AL 36830

Mailing address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660

Other practice location 1

2807 Greystone Commercial Blvd
Suite 34
Birmingham, AL 35242-9600
Phone (205) 745-3660

Other practice location 2

2807 Greystone Commercial Blvd
Suite 34
Birmingham, AL 35242-9600
Phone (205) 745-3660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140610002493 AL Part B Supplier - Clinic/Group Practice 1658595723 Receives reassigned benefits from 23 practitioners
Practice locations: Auburn, AL

National Provider Directory

National Provider Directory

Locations

1530 E Glenn Ave
Ste C
Auburn, AL 36830
Phone (334) 502-7839

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1154746733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E GLENN AVE STE C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-502-7839",
            "fax_number": "334-502-7879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 Greystone Commercial Blvd",
            "address_2": "Suite 34",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352429600",
            "country_code": "US",
            "telephone_number": "205-745-3660",
            "fax_number": "205-408-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2807 Greystone Commercial Blvd",
            "address_2": "Suite 34",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352429600",
            "country_code": "US",
            "telephone_number": "205-745-3660",
            "fax_number": "205-408-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY SOUTH AUBURN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-745-3660",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "470699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.