Individual provider Active NPI

Courtney Poist

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1396521605
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHT11507 Issued in AL
Practice address
601 Lurleen B Wallace N BLD
Tuscaloosa, AL 35401
Phone
(205) 409-8060
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 PHT11507 AL Primary

Addresses

Primary practice location

601 Lurleen B Wallace N BLD
Tuscaloosa, AL 35401

Mailing address

6464 Lake Vista Dr
Tuscaloosa, AL 35406-2972
Phone (205) 391-7242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926000341 AL Practitioner - Physical Therapist in Private Practice 8123472156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Physiolete Therapy and Performance LLCGroup PAC ID 5597176958, 9 clinicians

Practice addresses (Care Compare)

610 Lurleen B Wallace Blvd N
Tuscaloosa, AL 35401-1713
Phone (205) 409-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PHT11507ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiolete Therapy and Performance LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Physiolete Therapy and Performance LLC Physical Therapist Past Accepting new patients

Locations

2508 7th St
Tuscaloosa, AL 35401
Phone (205) 409-8060

610 Lurleen B Wallace Blvd N
Tuscaloosa, AL 35401
Phone (205) 292-2428

Organizations & group practices 2

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1396521605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 LAKE VISTA DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062972",
            "telephone_number": "205-391-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LURLEEN B WALLACE N BLD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-409-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIST",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PHT11507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.