Active NPI
Kati Elizabeth Lebouef, DPT
- Physical Therapist
- Birmingham, AL
National Provider Identifier
1235437336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6076
- Practice address
- 1930 Edwards Lake Rd
Suite 136
Birmingham, AL 35235-3718 - Phone
- (205) 655-7231
- Fax
- (205) 655-7232
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- 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 | PTH6076 | AL | Primary |
Addresses
Primary practice location
1930 Edwards Lake Rd
Suite 136
Birmingham, AL 35235-3718
Mailing address
1221 Krin Ave.
Birmingham, AL 35213
Phone (225) 802-2106
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6076 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Associates, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1235437336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 KRIN AVE.",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35213",
"telephone_number": "225-802-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 EDWARDS LAKE RD",
"address_2": "SUITE 136",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353718",
"telephone_number": "205-655-7231",
"fax_number": "205-655-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOUEF",
"first_name": "KATI",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.