Organization Active NPI

Valley Spine and Pain LLC

  • Physical Medicine & Rehabilitation Physician
  • Huntsville, AL
National Provider Identifier
1356885362
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
186204 Issued in AL
Legal business name
VALLEY SPINE AND PAIN LLC
Practice address
2227 Drake Ave SW Ste 7B
Huntsville, AL 35805
Phone
(256) 907-2493
Fax
(256) 281-8134
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
John Hornbuckle
Title
Owner
Phone
(256) 907-2493

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 186204 AL Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 31801 AL

Addresses

Primary practice location

2227 Drake Ave SW Ste 7B
Huntsville, AL 35805

Mailing address

PO Box 18545
Huntsville, AL 35804-8545
Phone (256) 907-2493

Other practice location 1

9238 Madison Blvd
Suite 100
Madison, AL 35758-9100
Phone (256) 382-1603

Other practice location 2

9238 Madison Blvd
Suite 100
Madison, AL 35758-9100
Phone (256) 382-1603

National Provider Directory

National Provider Directory

Locations

2227 Drake Ave SW
Ste 7B
Huntsville, AL 35805
Phone (256) 885-1636

9238 Madison Blvd
Ste 100
Madison, AL 35758
Phone (256) 302-8200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1356885362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18545",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048545",
            "telephone_number": "256-907-2493",
            "fax_number": "256-281-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVE SW STE 7B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35805",
            "telephone_number": "256-907-2493",
            "fax_number": "256-281-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9238 Madison Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589100",
            "country_code": "US",
            "telephone_number": "256-382-1603",
            "fax_number": "256-382-1607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9238 Madison Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589100",
            "country_code": "US",
            "telephone_number": "256-382-1603",
            "fax_number": "256-382-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY SPINE AND PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "HORNBUCKLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-907-2493"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "186204",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "31801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.