Individual provider Active NPI

Maggie Duggan, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1255759015
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6560 Issued in AL
Practice address
162 Export Cir NW
Huntsville, AL 35806-3916
Phone
(256) 308-3804
Fax
(256) 513-9952
NPI assigned
Mar 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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 PTH6560 AL Primary

Addresses

Primary practice location

162 Export Cir NW
Huntsville, AL 35806-3916

Mailing address

216 Bel Air Rd SE
Huntsville, AL 35802-3154
Phone (706) 410-0255

Other practice location 1

1104 Annie Ruth Jamar St
Athens, AL 35611-4494
Phone (256) 203-3804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103000941 AL Practitioner - Physical Medicine and Rehabilitation 7416274840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proformance Therapy and Wellness LLCGroup PAC ID 5496122343, 4 clinicians

Practice addresses (Care Compare)

1104 Annie Ruth Jamar St
Athens, AL 35611-4494
Phone (256) 203-3804

162 Export Cir NW
Huntsville, AL 35806-3916
Phone (256) 203-3804

216 Bel Air Rd SE
Huntsville, AL 35802-3154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proformance Therapy and Wellness LLC Physical Therapist CurrentSince Jul 6, 2022 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Aug 13, 2023 Accepting new patients
Proformance Therapy and Wellness LLC Physical Therapist CurrentSince Jun 23, 2024 Accepting new patients

Locations

1104 Annie Ruth Jamar St
Athens, AL 35611
Phone (256) 203-3804

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

927 Franklin St SE
Fl 4
Huntsville, AL 35801

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

162 Export Cir NW
Huntsville, AL 35806
Phone (256) 203-3804

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 3

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1255759015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BEL AIR RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023154",
            "telephone_number": "706-410-0255",
            "fax_number": "256-513-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 EXPORT CIR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063916",
            "telephone_number": "256-308-3804",
            "fax_number": "256-513-9952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Annie Ruth Jamar St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356114494",
            "country_code": "US",
            "telephone_number": "256-203-3804",
            "fax_number": "256-513-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "MAGGIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.