Individual provider Active NPI

Patrick Wallace Culotta, DPT

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1275166944
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9721 Issued in AL
Practice address
5541 Grove Blvd Ste C2
Hoover, AL 35226-4600
Phone
(205) 277-6870
Fax
(205) 277-6871
NPI assigned
Feb 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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 PTH9721 AL Primary

Addresses

Primary practice location

5541 Grove Blvd Ste C2
Hoover, AL 35226-4600

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 656-0388

Other practice location 1

7191 Cahaba Valley Rd
Birmingham, AL 35242-6443
Phone (205) 408-6560

Other names 1

  • Patrick Wallace Culotta Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002385 AL Practitioner - Physical Therapist in Private Practice 0840600029 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince May 11, 2022 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Nov 1, 2024 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 11, 2022 Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

5541 Grove Blvd
#C2
Hoover, AL 35226
Phone (205) 277-6870

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5541 Grove Blvd
Ste C2
Hoover, AL 35226
Phone (205) 277-6870

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

Organizations & group practices 5

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1275166944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-656-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 GROVE BLVD STE C2",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264600",
            "telephone_number": "205-277-6870",
            "fax_number": "205-277-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7191 Cahaba Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352426443",
            "country_code": "US",
            "telephone_number": "205-408-6560",
            "fax_number": "205-408-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULOTTA",
        "first_name": "PATRICK",
        "middle_name": "WALLACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "CULOTTA",
            "middle_name": "WALLACE",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.