Active NPI
Lisa Cates Altamirano, PT MS
- Orthopedic Physical Therapist
- Vestavia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTH3294
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-31990 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3294 | AL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agile Physical Therapy, LLC | Current | Accepting new patients | |
| Birmingham Physical Therapy & Sports Medicine Inc | Past | 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.
-
- Physical Therapist
- Birmingham, AL
- NPI 1154426260
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
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.