Individual provider Active NPI

Alexandra Poist Moody

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1366033136
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10223 Issued in AL
Practice address
2508 7TH St
Tuscaloosa, AL 35401-1802
Phone
(205) 409-8060
Fax
(205) 737-8841
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 PTH10223 AL Primary

Addresses

Primary practice location

2508 7TH St
Tuscaloosa, AL 35401-1802

Mailing address

PO Box 2862
Tuscaloosa, AL 35403-2862

Other identifiers 1

IdentifierTypeStateIssuer
PTH10223OtherALLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001551 AL Practitioner - Physical Therapist in Private Practice 0547676082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Physiolete Therapy and Performance LLCGroup PAC ID 5597176958, 9 clinicians

Practice addresses (Care Compare)

610 Lurleen B Wallace Blvd N
Tuscaloosa, AL 35401-1713
Phone (205) 409-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10223ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiolete Therapy and Performance LLC Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients
Therapy South Tuscaloosa LLC Physical Therapist CurrentSince Feb 2, 2021 Accepting new patients
Therapy South Hueytown LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients

Locations

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

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-9889

2508 7th St
Tuscaloosa, AL 35401
Phone (205) 409-8060

542 15th St E
Tuscaloosa, AL 35401
Phone (205) 462-7520

1520 McFarland Blvd N
Ste A
Tuscaloosa, AL 35406
Phone (205) 462-7520

610 Lurleen B Wallace Blvd N
Tuscaloosa, AL 35401
Phone (205) 292-2428

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1366033136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2862",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011802",
            "telephone_number": "205-409-8060",
            "fax_number": "205-737-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ALEXANDRA",
        "middle_name": "POIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTH10223",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.