Bao N Luu, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9581 Issued in AL

Practice address

410 2ND Ave E Ste C
Oneonta, AL 35121-1412

Phone

(205) 274-0922

Fax

(205) 274-0924

NPI assigned

Sep 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1205487519",
    "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": "410 2ND AVE E STE C",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211412",
            "telephone_number": "205-274-0922",
            "fax_number": "205-274-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "BAO",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kuntal S Pandit DMD PC
• Jeffery Lackey
• Evie Laney, M.S., CCC-SLP
• Lynda Oden Larue, CRNP
• Leah Lanell Lecroy, MS CCC-SLP
• Ramzi A Malek, M.D.
• Robin Lively Marbourg, O.D.
• Joely Marim-Eberhardt, DMD, MS
• Daniel Thomas McAlpine, ALC
• Imani Dara Dayo McCarter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.