Active NPI
John Kevin Cormier, P.T.
- Physical Therapist
- Tuscaloosa, AL
National Provider Identifier
1215992169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1662
- Practice address
- 526 14TH St
Tuscaloosa, AL 35401-3434 - Phone
- (205) 345-4441
- Fax
- (205) 758-8880
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH1662 | AL | Primary |
Addresses
Primary practice location
526 14TH St
Tuscaloosa, AL 35401-3434
Mailing address
2518 19TH St E
Tuscaloosa, AL 35404-4907
Phone (205) 507-0880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201201528 | Other | AL | TRICARE |
| 51522635 | Other | AL | BLUE CROSS BLUE SHIELD |
| 529923260 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
526 14TH St
Tuscaloosa, AL 35401-3434
Phone (205) 345-4441
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.72 of 100
- Quality
- 69.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1662 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aptor Inc. | Current | Accepting new patients | |
| West Alabama Pain Management, LLC | Past | Accepting new patients |
Locations
526 14th St
Tuscaloosa, AL 35401
Phone (205) 248-7199
1321 McFarland Blvd E
Tuscaloosa, AL 35404
Phone (205) 345-4441
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Tuscaloosa, AL
- NPI 1134175623
-
- Preferred Provider Organization
- Tuscaloosa, AL
- NPI 1225214018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1215992169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 19TH ST E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354044907",
"telephone_number": "205-507-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 14TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354013434",
"telephone_number": "205-345-4441",
"fax_number": "205-758-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "JOHN",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2020-10-15",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "201201528",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51522635",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529923260",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.