Individual provider Active NPI

Anna Grace Marshall, PT, DPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1205656428
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11373 Issued in AL
Practice address
5504 Crestwood Blvd Ste B
Birmingham, AL 35212-4101
Phone
(205) 201-4245
Fax
(205) 201-4481
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 PTH11373 AL Primary

Addresses

Primary practice location

5504 Crestwood Blvd Ste B
Birmingham, AL 35212-4101

Mailing address

5504 Crestwood Blvd Ste B
Birmingham, AL 35212-4101
Phone (205) 201-4245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206003720 AL Practitioner - Physical Therapist in Private Practice 8123554649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Total Joint LLCGroup PAC ID 3072900711, 8 clinicians

Practice addresses (Care Compare)

5518 Crestwood Boulevard
Birmingham, AL 35212
Phone (205) 201-4245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Total Joint LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

5518 Crestwood Blvd
Birmingham, AL 35212
Phone (205) 201-4245

5518 Crestwood Blvd
Birmingham, AL 35212
Phone (205) 201-4245

5504 Crestwood Blvd
Ste B
Birmingham, AL 35212
Phone (205) 201-4245

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.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1205656428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 CRESTWOOD BLVD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352124101",
            "telephone_number": "205-201-4245",
            "fax_number": "205-201-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 CRESTWOOD BLVD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352124101",
            "telephone_number": "205-201-4245",
            "fax_number": "205-201-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2024; 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.