Individual provider Active NPI

Gloria A Favor, P.T.

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1386860088
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH5003 Issued in AL
Practice address
165 Whitesport Dr SW Ste 2
Huntsville, AL 35801-7427
Phone
(256) 489-3760
Fax
(256) 713-1873
NPI assigned
Apr 18, 2007
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 PTH5003 AL Primary

Addresses

Primary practice location

165 Whitesport Dr SW Ste 2
Huntsville, AL 35801-7427

Mailing address

1267 Enterprise Way NW Ste B
Huntsville, AL 35806-4472
Phone (256) 713-1872

Other identifiers 1

IdentifierTypeStateIssuer
051007194OtherALBCBS OF AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000389 AL Practitioner - Physical Therapist in Private Practice 0042318222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nesin Therapy Services, P.C.Group PAC ID 4082697040, 13 clinicians

Practice addresses (Care Compare)

1267 Enterprise Way NW
Huntsville, AL 35806-4472
Phone (256) 713-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH5003ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nesin Therapy Services, P.C. CurrentSince Sep 1, 2008 Accepting new patients
The Orthopaedic Center PastSince Aug 1, 1999 Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Locations

1267 Enterprise Way NW
#B
Huntsville, AL 35806
Phone (256) 713-1872

1267 Enterprise Way NW
Ste B
Huntsville, AL 35806
Phone (256) 489-3760

165 Whitesport Dr SW
Ste 2
Huntsville, AL 35801
Phone (256) 425-0300

303 Williams Ave SW
Ste 128
Huntsville, AL 35801
Phone (256) 513-8442

12181 County Line Rd
Ste 150
Madison, AL 35758
Phone (256) 461-9654

540 Hughes Rd
Ste 8
Madison, AL 35758
Phone (256) 461-9654

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1386860088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-713-1872",
            "fax_number": "256-713-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WHITESPORT DR SW STE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017427",
            "telephone_number": "256-489-3760",
            "fax_number": "256-713-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVOR",
        "first_name": "GLORIA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051007194",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.