Individual provider Active NPI

Micah David Boyer, DPT

  • Physical Therapist
  • Muscle Shoals, AL
National Provider Identifier
1336000355
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12546 Issued in AL
Practice address
104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2151
Phone
(256) 718-3200
Fax
(256) 246-3297
NPI assigned
Nov 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 PTH12546 AL Primary

Addresses

Primary practice location

104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2151

Mailing address

1751 Veterans Dr Ste 300
Florence, AL 35630-4930

Other practice location 1

1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone (256) 718-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003838 AL Practitioner - Physical Therapist in Private Practice 6406349596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab and Sports Medicine of the Shoals, IncGroup PAC ID 6204854482, 8 clinicians

Practice addresses (Care Compare)

1751 Veterans Dr
Suite 300
Florence, AL 35630-4930
Phone (256) 764-9304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12546ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab and Sports Medicine of the Shoals, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1751 Veterans Dr
Ste 300
Florence, AL 35630
Phone (256) 718-3200

104 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 246-3490

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1336000355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS DR STE C",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612151",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 Veterans Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356304930",
            "country_code": "US",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MICAH",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.