NPIMap

Organization Active NPI

Jackson Hospital & Clinic, Inc.

Doing business as Jackson Pelvic Floor Therapy

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1265325823
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JACKSON HOSPITAL & CLINIC, INC.
Doing business as
Jackson Pelvic Floor Therapy
Practice address
1722 Pine St Ste 602
Montgomery, AL 36106-1114
Phone
(334) 293-8736
Fax
(334) 293-8738
NPI assigned
Jun 2, 2025
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelin Penney
Title
Executive Director
Phone
(334) 240-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1722 Pine St Ste 602
Montgomery, AL 36106-1114

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108
Phone (334) 293-8736

Other names 1

  • Jackson Pelvic Floor Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000971 AL Part B Supplier - Clinic/Group Practice 0547254153 Receives reassigned benefits from 247 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Jackson Primary Care72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1050 Bailey Dr
Demopolis, AL 36732
Phone (334) 289-5030

1508 Mulberry St
Montgomery, AL 36106
Phone (334) 293-8820

1722 Pine St
Ste 501
Montgomery, AL 36106
Phone (334) 261-3148

1722 Pine St
Ste 602
Montgomery, AL 36106

1722 Pine St
Ste 900
Montgomery, AL 36106
Phone (334) 264-0222

1725 Park Pl
#300A
Montgomery, AL 36106
Phone (334) 293-8922

1725 Park Pl
Ste 202
Montgomery, AL 36106
Phone (334) 281-7666

1758 Park Pl
Ste 103
Montgomery, AL 36106
Phone (334) 373-3611

1825 Park Pl
Montgomery, AL 36106
Phone (334) 293-8747

300 Interstate Park Dr
Ste 324
Montgomery, AL 36109
Phone (334) 272-0313

4282 Lomac St
Montgomery, AL 36106
Phone (205) 294-1080

701 McQueen Smith Rd S
Prattville, AL 36066
Phone (334) 351-2040

805 Friendship Rd
Ste B
Tallassee, AL 36078

515 Hospital Dr
Ste A
Wetumpka, AL 36092
Phone (334) 279-9333

Practitioners & affiliated clinicians

Practitioners 258

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 258

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1265325823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 804",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061108",
            "telephone_number": "334-293-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 602",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061114",
            "telephone_number": "334-293-8736",
            "fax_number": "334-293-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HOSPITAL & CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "KELIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-240-2335"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Pelvic Floor Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.