Individual provider Active NPI

Andrew D Stanford, DPT

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1326439647
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7485 Issued in AL
Practice address
3421 S Shades Crest Rd Ste 107
Hoover, AL 35244-3551
Phone
(205) 987-6501
NPI assigned
Feb 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 PTH7485 AL Primary

Addresses

Primary practice location

3421 S Shades Crest Rd Ste 107
Hoover, AL 35244-3551

Mailing address

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

Other practice location 1

4240 Balmoral Dr SW
Suite 100
Huntsville, AL 35801-6440
Phone (256) 883-1970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513000425 AL Practitioner - Physical Therapist in Private Practice 0941520043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South and Sports MedicineGroup PAC ID 0042219016, 10 clinicians

Practice addresses (Care Compare)

3421 S Shades Crest Rd
Suite 107
Hoover, AL 35244-3551
Phone (205) 987-6501

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as individual
Quality
89.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South and Sports Medicine Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Sixfourthree, LLC Current Accepting new patients
Sixfourthree, LLC CurrentSince Feb 16, 2015 Accepting new patients

Locations

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

3421 S Shades Crest Rd
Ste 107
Hoover, AL 35244
Phone (205) 987-6501

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

97 Hughes Rd
Ste P
Madison, AL 35758
Phone (256) 678-9953

Organizations & group practices 3

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1326439647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "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": "3421 S SHADES CREST RD STE 107",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443551",
            "telephone_number": "205-987-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 Balmoral Dr SW",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016440",
            "country_code": "US",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.