Individual provider Active NPI

Patrick Prewitt

  • Physical Therapist
  • Vestavia Hills, AL
National Provider Identifier
1174092704
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
636 Montgomery Hwy
Vestavia Hills, AL 35216-1810
Phone
(205) 730-3166
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

636 Montgomery Hwy
Vestavia Hills, AL 35216-1810

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207002664 AL Practitioner - Physical Therapist in Private Practice 6204174725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

636 Montgomery Hwy
Vestavia, AL 35216-1810
Phone (205) 730-3166

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Nov 7, 2018 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist Past Accepting new patients

Locations

634 1st St N
Ste 100
Alabaster, AL 35007
Phone (205) 728-2535

833 Saint Vincents Dr
Ste 100
Birmingham, AL 35205
Phone (205) 730-3190

9256 Parkway E
Ste A
Birmingham, AL 35206
Phone (205) 855-2003

5431 Patrick Way
Ste 101
Birmingham, AL 35235
Phone (205) 508-2277

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

550 Fieldstown Rd
Gardendale, AL 35071
Phone (205) 418-1482

323 Fieldstown Rd
Ste 105
Gardendale, AL 35071
Phone (205) 607-3217

1940 28th Ave S
Homewood, AL 35209
Phone (205) 730-3644

1401 Doug Baker Blvd
Ste 104
Hoover, AL 35242
Phone (205) 730-3660

2804 John Hawkins Pkwy
Ste 104
Hoover, AL 35244
Phone (205) 201-7747

1539 Montgomery Hwy
Ste 111
Hoover, AL 35216
Phone (205) 510-7023

124 W Grand Ave
Ste A4
Rainbow City, AL 35906
Phone (256) 295-9048

7201 Happy Hollow Rd
Ste 202B
Trussville, AL 35173
Phone (205) 508-2279

3735 Corporate Woods Dr
Ste 109
Vestavia, AL 35242
Phone (205) 201-7358

636 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 533-7066

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1174092704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161810",
            "telephone_number": "205-730-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.