PTP Lab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PTP LAB

Practice address

419 Main Ave SW
Cullman, AL 35055-3348

Phone

(256) 708-0329

Fax

(205) 543-6910

NPI assigned

Jun 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Green, DPTNPI 1861846990

Title

Owner/Director of Physical Therapy

Phone

(256) 708-0329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

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

• Courtney Green, DPT

  • Physical Therapist
  • Cullman, AL
  • NPI 1861846990
  Medicare reassignment NPD Authorized official
• Hayden Friesen

  • Physical Therapist
  • Cullman, AL
  • NPI 1841032158
  NPD

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1386486769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 MEADOWBROOK DR SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350559563",
            "telephone_number": "256-708-0329",
            "fax_number": "205-543-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN AVE SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553348",
            "telephone_number": "256-708-0329",
            "fax_number": "205-543-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "256-708-0329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescriptions by Rita Kay, Inc
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• Shonda H Price
• Provision 2, LLC
• Brenda G Pruitt, CRNP
• Publix Alabama LLC
• Sadie Pudles, RN
• Misty Pugh
• Quality of Life Health Services, Inc
• Kristie L Quattlebaum, CRNP

• Physical Therapy Clinic/Center in Cullman, AL
• Providers in Cullman, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.