Active NPI
Rene Danos Yerby, RPT
- Physical Therapist
- Mountain Brook, AL
National Provider Identifier
1164512463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3464
- Practice address
- 3918 Montclair Road Suite 100
Mountain Brook, AL 35213 - Phone
- (205) 401-3818
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3464 | AL | MD | Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3464 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3918 Montclair Road Suite 100
Mountain Brook, AL 35213
Mailing address
P.O. Box 130821
Birmingham, AL 35213
Phone (205) 322-4663
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH3464 | Other | AL | PT LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2022.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1164512463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 130821",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35213",
"telephone_number": "205-322-4663",
"fax_number": "877-595-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR ROAD SUITE 100",
"city": "MOUNTAIN BROOK",
"state": "AL",
"postal_code": "35213",
"telephone_number": "205-401-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERBY",
"first_name": "RENE",
"middle_name": "DANOS",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PTH3464",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Brook, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.