Active NPI
Cevin Charles Cormier, D.C.
- Chiropractor
- Mobile, AL
National Provider Identifier
1326100280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1894
- Practice address
- 6300 Airport Blvd
C
Mobile, AL 36608-3161 - Phone
- (251) 343-9990
- Fax
- (251) 343-9181
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3099 | AL | |
| Chiropractor | 111N00000X | 1894 | AL | Primary |
Addresses
Primary practice location
6300 Airport Blvd
C
Mobile, AL 36608-3161
Mailing address
6300 Airport Blvd
C
Mobile, AL 36608-3161
Phone (251) 343-9990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021855 | Other | AL | PTAN |
| 510I650143 | Other | AL | PTAN FOR PT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050119000637 | AL | Practitioner - Chiropractic | 0840249645 | Reassigns benefits to 1 organization |
| I20080630000569 | AL | Practitioner - Physical Therapist in Private Practice | 0840249645 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3099 | AL | MD | Physical Therapist |
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": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1326100280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 AIRPORT BLVD",
"address_2": "C",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083161",
"telephone_number": "251-343-9990",
"fax_number": "251-343-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 AIRPORT BLVD",
"address_2": "C",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083161",
"telephone_number": "251-343-9990",
"fax_number": "251-343-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "CEVIN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3099",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000021855",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN FOR PT",
"identifier": "510I650143",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.