Individual provider Active NPI

Dolores A Temple, P.T.

  • Physical Therapist
  • Trussville, AL
National Provider Identifier
1225374341
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1496 Issued in AL
Practice address
4555 Trussville Clay Rd
Trussville, AL 35173-1547
Phone
(205) 222-5560
NPI assigned
Dec 17, 2012
Last updated
Dec 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 PTH1496 AL Primary

Addresses

Primary practice location

4555 Trussville Clay Rd
Trussville, AL 35173-1547

Mailing address

4555 Trussville Clay Rd
Trussville, AL 35173-1547
Phone (205) 222-5560

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Oct 1, 2024 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Oct 1, 2024 Accepting new patients

Locations

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1225374341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 TRUSSVILLE CLAY RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731547",
            "telephone_number": "205-222-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 TRUSSVILLE CLAY RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731547",
            "telephone_number": "205-222-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "DOLORES",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.