Kimberly Marlow Sanders, PT
Individual provider Active NPI Physical Therapist · Carrollton, AL
NPI 1295812352 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1295812352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH3236 (AL)
- Practice address
- 241 Robert K Wilson Dr
Carrollton, AL 35447 - Phone
- (256) 350-1764
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
- DCH Encore Rehabilitation, LLC
Practice addresses (Care Compare)
1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958
Phone (205) 759-7246
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120525000165 | AL | Practitioner - Physical Therapist in Private Practice | 0648433896 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4662 | AL | MD | Professional Counselor |
| PTH3236 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current |
Accepting new patients |
| Tuscaloosa Physical Therapy Center, Incorporated | Physical Therapist | Current |
Accepting new patients |
| Encore Rehabilitation, Inc | Physical Therapist | Current |
Accepting new patients |
| DCH Encore Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
291 Robert K Wilson Dr
Carrollton, AL 35447
241 Robert K Wilson Dr
Carrollton, AL 35447
Phone (205) 367-2408
291 Robert K Wilson Dr
Carrollton, AL 35447
Phone (205) 367-2455
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
251 Johnston St SE
Ste 200
Decatur, AL 35601
21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410
1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 750-5394
1725 University Blvd E
Tuscaloosa, AL 35404
Phone (205) 556-2110
6561 Highway 69 S
#A
Tuscaloosa, AL 35405
Phone (205) 722-1036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3236 | AL | Yes |
Addresses
Primary practice location
241 Robert K Wilson Dr
Carrollton, AL 35447
Mailing address
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
Other practice location 1
1725 University Boulevard East
Tuscaloosa, AL 35404
Phone (205) 556-2110
Other practice location 2
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
Other names
- Mrs. Kimberly Marlow Bonner
Other providers in Carrollton, AL
- Tristan Hall
- Margery Hartley
- April Hawkins
- Ina Lann
- Jessica Gray Lee
- Mental Health BD of Bibb Pickens and Tuscaloosa Counties
- Pickens Co Ambulance SRVC
- Pickens County
- Pickens County Commission
- Pickens County Health Care Authority
All providers in Carrollton, AL · Physical Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.