Organization Active NPI

Liberty Physical LLC

  • Home Health Agency
  • Vestavia, AL
National Provider Identifier
1366277980
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIBERTY PHYSICAL LLC
Practice address
521 Alston Park Dr
Vestavia, AL 35242-7425
Phone
(205) 482-8077
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Authorized official

Name
James Clay Higginbotham, DPT
Title
Ceo
Phone
(205) 482-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

521 Alston Park Dr
Vestavia, AL 35242-7425

Mailing address

521 Alston Park Dr
Vestavia, AL 35242-7425
Phone (205) 482-8077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728691200000",
    "number": "1366277980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ALSTON PARK DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427425",
            "telephone_number": "205-482-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ALSTON PARK DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427425",
            "telephone_number": "205-482-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHYSICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-482-8077",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.