NPIMap

Organization Active NPI

Over the Mountain Rehab, Inc

  • Physical Therapist
  • Homewood, AL
National Provider Identifier
1376610865
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1468 Issued in AL
Legal business name
OVER THE MOUNTAIN REHAB, INC
Practice address
2204 Lakeshore Dr
Suite 150
Homewood, AL 35209-6729
Phone
(205) 423-9502
Fax
(205) 423-9504
NPI assigned
Nov 29, 2006
Last updated
Mar 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Ms. Lisa R Bor, PTNPI 1851394563
Title
President
Phone
(205) 423-9502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PTH1468 AL Primary

Addresses

Primary practice location

2204 Lakeshore Dr
Suite 150
Homewood, AL 35209-6729

Mailing address

2204 Lakeshore Dr
Suite 150
Homewood, AL 35209-6729
Phone (205) 423-9502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1376610865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "SUITE 150",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-423-9502",
            "fax_number": "205-423-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "SUITE 150",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-423-9502",
            "fax_number": "205-423-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVER THE MOUNTAIN REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "BOR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-423-9502",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.