Active NPI
SPN - Direct, LLC
- Physical Therapy Clinic/Center
- Birmingham, AL
National Provider Identifier
1154808327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SPN - DIRECT, LLC
- Practice address
- 500 Riverhills Business Park Ste 500
Birmingham, AL 35242-5039 - Phone
- (717) 972-1100
- NPI assigned
- Jul 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
500 Riverhills Business Park Ste 500
Birmingham, AL 35242-5039
Mailing address
4714 Gettysburg Road
Legal - Regulatory Dept
Mechanicsburg, PA 17055
Phone (717) 972-1100
National Provider Directory
National Provider DirectoryLocations
500 Riverhills Business Park
#500
Birmingham, AL 35242
Phone (205) 995-5668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532044800000",
"number": "1154808327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG ROAD",
"address_2": "LEGAL - REGULATORY DEPT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "17055",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RIVERHILLS BUSINESS PARK STE 500",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425039",
"telephone_number": "717-972-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPN - DIRECT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.