NPIMap

Organization Active NPI

Beyond Physical Therapy of Vestavia, LLC

  • Physical Therapist
  • Vestavia Hills, AL
National Provider Identifier
1285704270
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
933303715 Issued in AL
Legal business name
BEYOND PHYSICAL THERAPY OF VESTAVIA, LLC
Practice address
100 Centerview Dr Ste 190
Vestavia Hills, AL 35216-3774
Phone
(205) 824-0610
Fax
(800) 433-5134
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Mr. Jon P Church, MSPT, ATCNPI 1528138500
Title
Owner
Phone
(205) 824-0610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 933303715 AL Primary

Addresses

Primary practice location

100 Centerview Dr Ste 190
Vestavia Hills, AL 35216-3774

Mailing address

100 Centerview Dr Ste 190
Vestavia Hills, AL 35216-3774
Phone (205) 824-0610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230330000312 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496129652 Receives reassigned benefits from 7 practitioners
Practice locations: Vestavia Hills, AL

National Provider Directory

National Provider Directory

Locations

2090 Columbiana Rd
Ste 1000
Vestavia Hills, AL 35216
Phone (205) 824-0610

100 Centerview Dr
Ste 190
Vestavia Hills, AL 35216
Phone (205) 824-0610

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1285704270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTERVIEW DR STE 190",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163774",
            "telephone_number": "205-824-0610",
            "fax_number": "800-433-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTERVIEW DR STE 190",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163774",
            "telephone_number": "205-824-0610",
            "fax_number": "800-433-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PHYSICAL THERAPY OF VESTAVIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-824-0610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "933303715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.