Patrick Berrell
Individual provider Active NPI Physical Therapist · Pelham, AL
NPI 1255008017 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1255008017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH10517 (AL)
- Practice address
- 3569 Pelham Pkwy Ste 7
Pelham, AL 35124-2033 - Phone
- (205) 664-8404
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy South Pelham, LLC
Practice addresses (Care Compare)
3569 Pelham Pkwy
Suite 7
Pelham, AL 35124-2033
Phone (205) 664-8404
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006000935 | AL | Practitioner - Physical Therapist in Private Practice | 0749688786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10517 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South Pelham, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
3569 Pelham Pkwy
Ste 7
Pelham, AL 35124
Phone (205) 664-8404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH10517 | AL | Yes |
Addresses
Primary practice location
3569 Pelham Pkwy Ste 7
Pelham, AL 35124-2033
Mailing address
2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH10517 | Other | AL | LICENSE |
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.