Individual provider Active NPI

John Kevin Cormier, P.T.

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1215992169
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1662 Issued in AL
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

Updated by the provider on Oct 15, 2020

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 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

IdentifierTypeStateIssuer
201201528OtherALTRICARE
51522635OtherALBLUE CROSS BLUE SHIELD
529923260MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000901 AL Practitioner - Physical Therapist in Private Practice 9830162916 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
69.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH1662ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aptor Inc. CurrentSince Jun 10, 2004 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.

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.

Verify at the official NPI Registry.