Individual provider Active NPI

Andrea Lenise Reliford, PT, ATC

  • Orthopedic Physical Therapist
  • Birmingham, AL
National Provider Identifier
1275753188
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5255 Issued in AL
Practice address
5511 Highway 280 East
Suite 105
Birmingham, AL 35242-2833
Phone
(205) 408-0700
Fax
(205) 408-0702
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5255 AL Primary
Athletic Trainer 2255A2300X 805 AL

Addresses

Primary practice location

5511 Highway 280 East
Suite 105
Birmingham, AL 35242-2833

Mailing address

6801 Dublin CT So
Birmingham, AL 35212-1936
Phone (205) 903-9205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825000303 AL Practitioner - Physical Therapist in Private Practice 0840617718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M3 Endeavors LLCGroup PAC ID 9739427246, 5 clinicians

Practice addresses (Care Compare)

1212 Americana Dr
Birmingham, AL 35215-4156
Phone (205) 613-6675

2748 Alton Rd
Suite 100
Irondale, AL 35210-7313
Phone (205) 508-3811

8331 Gadsden Hwy
Trussville, AL 35173-2219
Phone (205) 508-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
805ALMDAthletic Trainer
5255ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M3 Endeavors, LLC CurrentSince Aug 1, 2022 Accepting new patients
Physiotherapy Associates Athletic Trainer Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
M3 Endeavors, LLC PastSince Nov 12, 2023 Accepting new patients

Locations

2748 Alton Rd
Ste 100
Irondale, AL 35210
Phone (205) 508-3811

8331 Gadsden Hwy
Trussville, AL 35173
Phone (205) 508-3811

7040 Gadsden Hwy
Ste 100
Trussville, AL 35173
Phone (205) 508-3811

Organizations & group practices 4

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1275753188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DUBLIN CT SO",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352121936",
            "telephone_number": "205-903-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 HIGHWAY 280 EAST",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422833",
            "telephone_number": "205-408-0700",
            "fax_number": "205-408-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELIFORD",
        "first_name": "ANDREA",
        "middle_name": "LENISE",
        "name_prefix": "Ms.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "5255",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.