Individual provider Active NPI

Garrett Ryan Trummer

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1205471612
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9587 Issued in AL
Practice address
1000 RV Trce
Hoover, AL 35244-8000
Phone
(205) 739-2069
Fax
(205) 739-1259
NPI assigned
Nov 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 PTH9587 AL Primary

Addresses

Primary practice location

1000 RV Trce
Hoover, AL 35244-8000

Mailing address

8205 Presidents Dr
Hummelstown, PA 17036-8621
Phone (717) 839-2159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113001421 AL Practitioner - Physical Therapist in Private Practice 8820423221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9587ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Alabama LLC CurrentSince Nov 11, 2019 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Nov 11, 2019 Accepting new patients
Outlaw Physio LLC Current Accepting new patients
Therapy South Riverchase LLC Physical Therapist CurrentSince Feb 2, 2021 Accepting new patients

Locations

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

5508 Stadium Trace Pkwy
Hoover, AL 35244
Phone (205) 682-7650

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

100 Little Valley Ct
Hoover, AL 35244
Phone (205) 874-9523

8205 Presidents Dr
Hummelstown, PA 17036
Phone (717) 839-2159

Organizations & group practices 4

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1205471612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 PRESIDENTS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368621",
            "telephone_number": "717-839-2159",
            "fax_number": "717-565-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RV TRCE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352448000",
            "telephone_number": "205-739-2069",
            "fax_number": "205-739-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMMER",
        "first_name": "GARRETT",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.