Active NPI
Thomas King
- Occupational Therapist
- Muscle Shoals, AL
National Provider Identifier
1174724124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1015
- Practice address
- 3005 S Wilson Dam Rd
Muscle Shoals, AL 35661-3755 - Phone
- (256) 389-2855
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1015 | AL | Primary |
Addresses
Primary practice location
3005 S Wilson Dam Rd
Muscle Shoals, AL 35661-3755
Mailing address
124 Wildwood TRL
Florence, AL 35630-0735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015 | Other | AL | OTR LICENSE |
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 |
|---|---|---|---|
| 1015 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Mobile, AL
- NPI 1457502452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174724124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 WILDWOOD TRL",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356300735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 S WILSON DAM RD",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356613755",
"telephone_number": "256-389-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "1015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTR LICENSE",
"identifier": "1015",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.