Individual provider Active NPI

Stephen Owenby

  • Physical Therapist
  • Mountain BRK, AL
National Provider Identifier
1356828941
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
205 Country Club Park
Mountain BRK, AL 35213-4237
Phone
(205) 871-0777
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 Primary

Addresses

Primary practice location

205 Country Club Park
Mountain BRK, AL 35213-4237

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660

Other practice location 1

833 Saint Vincents Dr Unit 1
Birmingham, AL 35205-1606
Phone (205) 730-3190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126002927 AL Practitioner - Physical Therapist in Private Practice 0941554281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Mountain BrookGroup PAC ID 4688739287, 10 clinicians

Practice addresses (Care Compare)

205 Country Club Park
Mountain BRK, AL 35213-4237
Phone (205) 871-0777

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as individual
Quality
88.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Mountain Brook Physical Therapist CurrentSince May 5, 2021 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jul 13, 2018 Accepting new patients

Locations

833 Saint Vincents Dr
Ste 100
Birmingham, AL 35205
Phone (205) 730-3190

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

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

205 Country Club Park
Mountain Brk, AL 35213
Phone (205) 871-0777

790 Remington Blvd
Bolingbrook, IL 60440

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1356828941",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COUNTRY CLUB PARK",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352134237",
            "telephone_number": "205-871-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Saint Vincents Dr Unit 1",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051606",
            "country_code": "US",
            "telephone_number": "205-730-3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENBY",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.