Individual provider Active NPI

Martha Chumbley, RPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1205980539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT777 Issued in AL
Practice address
113 Longwood Dr SW
Huntsville, AL 35801-4556
Phone
(256) 536-2699
Fax
(256) 536-4199
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT777 AL Primary

Addresses

Primary practice location

113 Longwood Dr SW
Huntsville, AL 35801-4556

Mailing address

17851 Elles Dr
Athens, AL 35611-5638
Phone (256) 536-2699

Other identifiers 1

IdentifierTypeStateIssuer
515-25434OtherALBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT777ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205980539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17851 ELLES DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356115638",
            "telephone_number": "256-536-2699",
            "fax_number": "256-536-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LONGWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014556",
            "telephone_number": "256-536-2699",
            "fax_number": "256-536-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMBLEY",
        "first_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PT777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "515-25434",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.