NPIMap

Organization Active NPI

Godspeed Esa Hoover Inc.

Doing business as Godspeed Elite Sports Academy

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1336759257
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GODSPEED ESA HOOVER INC.
Doing business as
Godspeed Elite Sports Academy
Practice address
110 Little Valley CT
Hoover, AL 35244-2002
Phone
(205) 292-2428
NPI assigned
Aug 5, 2020
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Michelle Hawthorne, MS
Title
Credentialing and Billing Manager
Phone
(205) 292-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

110 Little Valley CT
Hoover, AL 35244-2002

Mailing address

110 Little Valley CT
Hoover, AL 35244-2002
Phone (205) 292-2428

Other names 1

  • Godspeed Elite Sports Academy Doing business as

National Provider Directory

National Provider Directory

Locations

100 Little Valley Ct
Hoover, AL 35244
Phone (205) 874-9523

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1336759257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LITTLE VALLEY CT",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442002",
            "telephone_number": "205-292-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LITTLE VALLEY CT",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442002",
            "telephone_number": "205-292-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODSPEED ESA HOOVER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING AND BILLING MANAGER",
        "authorized_official_telephone_number": "205-292-2428",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Godspeed Elite Sports Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Godspeed Elite Sports Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 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.