Therapy South, LLC

Organization Active NPI Physical Therapist · Vestavia Hills, AL

NPI 1295830404 · NPPES record last updated May 20, 2019

Key facts

NPI
1295830404
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
THERAPY SOUTH, LLC
Practice address
1944 Canyon Rd Ste 100
Vestavia Hills, AL 35216-1761
Phone
(205) 822-7607
NPI assigned
Sep 13, 2006
Organization subpart
No

Authorized official

Name
Stephen Foster
Title
Owner
Phone
(205) 745-3660

Practitioners 42

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

View all 42

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061005000220 AL Part B Supplier - Clinic/Group Practice 3577569151 Receives reassigned benefits from 13 practitioners
Practice locations: Vestavia Hills, AL

National Provider Directory

Locations

3401 Independence Dr
Ste 211
Homewood, AL 35209
Phone (205) 802-8537

2807 Greystone Commercial Blvd
Ste 34
Hoover, AL 35242
Phone (205) 745-3650

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1944 Canyon Rd Ste 100
Vestavia Hills, AL 35216-1761

Mailing address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660

Other practice location 1

790 Montgomery Hwy
Suite 108
Vestavia Hills, AL 35216-1872
Phone (205) 822-7607

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2019.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1295830404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 CANYON RD STE 100",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161761",
            "telephone_number": "205-822-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Montgomery Hwy",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161872",
            "country_code": "US",
            "telephone_number": "205-822-7607",
            "fax_number": "205-822-7614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-745-3660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

All providers in Vestavia Hills, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.