Individual provider Active NPI

Lisa Cates Altamirano, PT MS

  • Orthopedic Physical Therapist
  • Vestavia, AL
National Provider Identifier
1265654073
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH3294 Issued in AL
Practice address
4851 Cahaba River Rd Ste 137
Vestavia, AL 35243-2359
Phone
(205) 969-7887
Fax
(205) 969-7886
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTH3294 AL Primary

Addresses

Primary practice location

4851 Cahaba River Rd Ste 137
Vestavia, AL 35243-2359

Mailing address

4851 Cahaba River Rd Ste 137
Vestavia, AL 35243-2359
Phone (205) 969-7887

Other identifiers 1

IdentifierTypeStateIssuer
515-31990OtherALBLUE CROSS BLUE SHIELD OF ALABAMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000493 AL Practitioner - Physical Therapist in Private Practice 9133134141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTH3294ALMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agile Physical Therapy, LLC CurrentSince Sep 15, 2008 Accepting new patients
Birmingham Physical Therapy & Sports Medicine Inc PastSince Jul 1, 2005 Accepting new patients

Locations

3419 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 969-7887

4851 Cahaba River Rd
Ste 137
Vestavia, AL 35243
Phone (205) 963-7523

3125 Blue Lake Dr
Vestavia, AL 35243
Phone (205) 969-7887

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agile Physical Therapy, LLC 6 clinicians

Practice addresses (Care Compare)

3125 Blue Lake Dr
Vestavia, AL 35243-2333
Phone (205) 969-7887

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1265654073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 CAHABA RIVER RD STE 137",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432359",
            "telephone_number": "205-969-7887",
            "fax_number": "205-969-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 CAHABA RIVER RD STE 137",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432359",
            "telephone_number": "205-969-7887",
            "fax_number": "205-969-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "LISA",
        "middle_name": "CATES",
        "name_prefix": "Mrs.",
        "credential": "PT MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH3294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-31990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.