Active NPI
Therapy South Andalusia LLC
- Physical Therapist
- Andalusia, AL
National Provider Identifier
1306379797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 102031
- Legal business name
- THERAPY SOUTH ANDALUSIA LLC
- Practice address
- 811 B West Bypass
Andalusia, AL 36420 - Phone
- (334) 222-2620
- NPI assigned
- Apr 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Foster
- Title
- President
- Phone
- (205) 745-3660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 102031 | AL | Primary |
Addresses
Primary practice location
811 B West Bypass
Andalusia, AL 36420
Mailing address
2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
811 W Bypass
#B
Andalusia, AL 36420
Phone (334) 222-2620
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Andalusia, AL
- NPI 1508522947
-
- Physical Therapist
- Evergreen, AL
- NPI 1891260287
-
- Physical Therapist
- Andalusia, AL
- NPI 1033808522
-
- Occupational Therapist
- Andalusia, AL
- NPI 1366132458
-
- Physical Therapist
- Birmingham, AL
- NPI 1700289865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491264000000",
"number": "1306379797",
"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": "811 B WEST BYPASS",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "36420",
"telephone_number": "334-222-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY SOUTH ANDALUSIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-745-3660"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AL",
"license": "102031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.