P4 Physical Therapy - Parent Location , LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

P4 PHYSICAL THERAPY - PARENT LOCATION , LLC

Practice address

8059 Mitchell LN
Vestavia Hills, AL 35216-6821

Phone

(205) 478-4418

NPI assigned

Apr 2, 2020

Organization subpart

Yes

Parent organization

P4 PHYSICAL THERAPY, LLC - PARENT LOCATIONAs reported in NPPES

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

Authorized official

Name

Michelle Smith

Title

Revenue Cycle Manager

Phone

(205) 607-0631

Specialties & licenses 1

Addresses

Part of

P4 Physical Therapy - Parent Location LLC

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1316576333",
    "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": "205-999-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166821",
            "telephone_number": "205-478-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 US Highway 43",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945062",
            "country_code": "US",
            "telephone_number": "205-495-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P4 PHYSICAL THERAPY - PARENT LOCATION , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "P4 PHYSICAL THERAPY, LLC - PARENT LOCATION",
        "enumeration_date": "2020-04-02",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "205-607-0631"
    },
    "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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• Physical Therapist in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.