Individual provider Active NPI

Elizabeth Street Thorn, MPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1295829612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3973 Issued in AL
Practice address
4524 Southlake Parkway
Suite 6
Birmingham, AL 35244
Phone
(205) 988-8542
Fax
(205) 988-8498
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTH3973 AL Primary

Addresses

Primary practice location

4524 Southlake Parkway
Suite 6
Birmingham, AL 35244

Mailing address

4524 Southlake Parkway
Suite 6
Birmingham, AL 35244
Phone (205) 988-8542

Other names 1

  • Miss Elizabeth Whitten Street Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000683 AL Practitioner - Physical Therapist in Private Practice 2769569482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Greystone, LLCGroup PAC ID 6103826474, 8 clinicians

Practice addresses (Care Compare)

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660

Merit-based Incentive Payment System (MIPS)

Final score
98.38 of 100Reported as individual
Quality
96.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Pelham, LLC Physical Therapist CurrentSince Aug 23, 2012 Accepting new patients
Therapy South Greystone, LLC Physical Therapist CurrentSince Feb 12, 2008 Accepting new patients

Locations

2807 Greystone Commercial Blvd
Ste 32
Hoover, AL 35242
Phone (205) 408-1713

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

3569 Pelham Pkwy
Ste 7
Pelham, AL 35124
Phone (205) 664-8404

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295829612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 SOUTHLAKE PARKWAY",
            "address_2": "SUITE 6",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-988-8542",
            "fax_number": "205-988-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 SOUTHLAKE PARKWAY",
            "address_2": "SUITE 6",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-988-8542",
            "fax_number": "205-988-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "ELIZABETH",
        "middle_name": "STREET",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "STREET",
            "middle_name": "WHITTEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.