Park South Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

288 Issued in AL

Legal business name

PARK SOUTH PHYSICAL THERAPY, P.C.

Practice address

33310 US Highway 280
Childersburg, AL 35044-3121

Phone

(256) 378-3390

Fax

(256) 378-3391

NPI assigned

Jan 25, 2007

Last updated

Apr 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Duncan Crowder

Title

President

Phone

(256) 378-3390

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 6

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.

• Duncan Crowder, PT

  • Physical Therapist
  • Childersburg, AL
  • NPI 1255389128
  Medicare reassignment NPD
• Krystal Fielding, MSPT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1558454561
  Medicare reassignment NPD
• Rachel Hope Abernathy, P.T.

  • Physical Therapist
  • Gadsden, AL
  • NPI 1801898051
  NPD (past)
• Monica C Burson, PT

  • Physical Therapist
  • Columbiana, AL
  • NPI 1801093802
  NPD (past)
• Margaret B Crowder, PT

  • Physical Therapist
  • Childersburg, AL
  • NPI 1477501112
  NPD (past)
• Shari Dee Ann Hyde, MSPT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1255425336
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1366598179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33310 US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350443121",
            "telephone_number": "256-378-3390",
            "fax_number": "256-378-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33310 US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350443121",
            "telephone_number": "256-378-3390",
            "fax_number": "256-378-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SOUTH PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-378-3390"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PTH288",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lida Nguyen, PHARMD
• Northland Hearing Centers Inc (Audibel Hearing Aid Center)
• Northland Hearing Centers, Inc. (Pattillo Balance & Hearing Center)
• Alison Adair Oliver
• Orthosports Associates, LLC
• Jim Peeples, RPH
• PJP Dental LLC
• Jennifer Whitt Rearden, LGSW
• P. Duncan Roy Jr., O.D.
• Margaret Sarris, MSW, MA

• Physical Therapist in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.