Active NPI
Gloria A Favor, P.T.
- Physical Therapist
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH5003
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051007194 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH5003 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nesin Therapy Services, P.C. | Current | Accepting new patients | |
| The Orthopaedic Center | Past | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Past | 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
- 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.
-
- Physical Therapy Clinic/Center
- Madison, AL
- NPI 1417021320
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
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.