Individual provider Active NPI

Jonathan E Delk, MSPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1174616189
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3514 Issued in AL
Practice address
3125 Independence Dr
300B
Birmingham, AL 35209
Phone
(205) 879-7501
Fax
(205) 879-0675
NPI assigned
Oct 2, 2006
Last updated
Apr 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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 PTH3514 AL Primary

Addresses

Primary practice location

3125 Independence Dr
300B
Birmingham, AL 35209

Mailing address

3125 Independence Dr
300B
Birmingham, AL 35209
Phone (205) 879-7501

Other identifiers 3

IdentifierTypeStateIssuer
51502359OtherALBLUE CROSS
51104595OtherALBLUE CROSS BLUE SH TRUSSVILLE LOCATION
6400002OtherALUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001042 AL Practitioner - Physical Therapist in Private Practice 1052302288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ew Motion Therapy Homewood LLCGroup PAC ID 3870584089, 18 clinicians

Practice addresses (Care Compare)

3125 Independence Dr
Suite 300B
Birmingham, AL 35209-4168
Phone (205) 263-2770

Merit-based Incentive Payment System (MIPS)

Final score
90.2 of 100Reported as group
Quality
95.91
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3514ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ew Motion Therapy Trussville LLC Physical Therapist CurrentSince Apr 1, 2010 Accepting new patients
Ew Motion Therapy Homewood LLC Physical Therapist CurrentSince Jul 1, 2003 Accepting new patients
Ew Motion Therapy Tuscaloosa, LLC Physical Therapist PastSince Aug 1, 2015 Accepting new patients
Ew Motion Therapy Meadowbrook LLC Physical Therapist PastSince Mar 5, 2024 Accepting new patients
Neurosurgical Associates, P. C. PastSince Nov 4, 1994 Accepting new patients
Fagan LLC Past Accepting new patients

Locations

3125 Independence Dr
Homewood, AL 35209
Phone (205) 868-1313

3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770

183 Main St
Ste D
Trussville, AL 35173
Phone (205) 655-1009

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1174616189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR",
            "address_2": "300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-879-7501",
            "fax_number": "205-879-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR",
            "address_2": "300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-879-7501",
            "fax_number": "205-879-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "JONATHAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51502359",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SH TRUSSVILLE LOCATION",
            "identifier": "51104595",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400002",
            "state": "AL"
        }
    ],
    "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 Apr 21, 2010; 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.