NPIMap

Organization Active NPI

Industrial Wellness Rehab, Inc

  • Physical Therapist
  • Saraland, AL
National Provider Identifier
1205965175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1919 Issued in AL
Legal business name
INDUSTRIAL WELLNESS REHAB, INC
Practice address
627 Highway 43 South
Suite B
Saraland, AL 36571
Phone
(251) 675-3390
Fax
(251) 675-9976
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa W Sullivan
Title
VP-Accts Receivable Manager
Phone
(251) 586-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PTH1919 AL Primary

Addresses

Primary practice location

627 Highway 43 South
Suite B
Saraland, AL 36571

Mailing address

2048 S Broad St # a
Brookley Complex
Mobile, AL 36615-1285
Phone (251) 433-1414

Other names 1

  • IWR Therapy Systems Other name

National Provider Directory

National Provider Directory

Locations

2048 S Broad St
#A
Mobile, AL 36615

627 Highway 43 S
#B
Saraland, AL 36571
Phone (251) 675-3390

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205965175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 S BROAD ST # A",
            "address_2": "BROOKLEY COMPLEX",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366151285",
            "telephone_number": "251-433-1414",
            "fax_number": "251-433-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 HIGHWAY 43 SOUTH",
            "address_2": "SUITE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "36571",
            "telephone_number": "251-675-3390",
            "fax_number": "251-675-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL WELLNESS REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP-ACCTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "251-586-0067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IWR Therapy Systems",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.