P4 Physical Therapy - Athens, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

P4 PHYSICAL THERAPY - ATHENS, LLC

Practice address

209 Fitness Way Ste D
Athens, AL 35611-2452

Phone

(205) 478-4418

Fax

(205) 999-4622

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Donald Lea Smith, DPT

Title

Managing Partner

Phone

(205) 478-4418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1295350783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166821",
            "telephone_number": "205-229-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FITNESS WAY STE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112452",
            "telephone_number": "205-478-4418",
            "fax_number": "205-999-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4 PHYSICAL THERAPY - ATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "205-478-4418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Duane Eddie Owen, RN
• Idara Oyekanmi, ACNPC-AG
• P4 Physical Therapy - Athens, LLC
• P4 Physical Therapy Limited Partnership
• Mary V Pachol, BSW
• Nestor J Pagan, D.C.
• Pain Management Associates LLC

• Physical Therapist in Athens, AL
• Providers in Athens, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.