Icon Performance Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ICON PERFORMANCE PHYSICAL THERAPY

Practice address

3156 Sunview Dr
Vestavia, AL 35243-5433

Phone

(205) 259-3991

Fax

(205) 876-8063

NPI assigned

Mar 12, 2018

Organization subpart

No

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

Authorized official

Name

Charles Hall

Title

Member

Phone

(205) 259-3991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1194228643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 SUNVIEW DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435433",
            "telephone_number": "205-259-3991",
            "fax_number": "205-876-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 SUNVIEW DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435433",
            "telephone_number": "205-259-3991",
            "fax_number": "205-876-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-259-3991"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Hughes
• Kristina Humphrey
• Mariah Hunter
• Darby Rae Hutchison, PT, DPT
• Icon Performance
• Ignite Counseling Services, LLC
• Madison Imler
• In Good Hands Care
• In Home Angels LLC
• Innovative Infusions, LLC

• Physical Therapist in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.