Individual provider Active NPI

Michael Cazenave, RPT

  • Physical Therapist
  • Rainbow City, AL
National Provider Identifier
1396780474
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3521 Issued in AL
Practice address
3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804
Phone
(256) 549-6387
Fax
(256) 549-6391
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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 PTH3521 AL Primary

Addresses

Primary practice location

3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804

Mailing address

3102 Rainbow Drive
Suite 200
Rainbow City, AL 35906-5804
Phone (256) 549-6387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000591 AL Practitioner - Physical Therapist in Private Practice 7618973520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3225 Rainbow Dr
Suite 207
Rainbow City, AL 35906-5859
Phone (256) 390-3916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3521ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Functional Physical Therapy Physical Therapist CurrentSince Apr 21, 2021 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Aug 28, 2017 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Aug 28, 2017 Accepting new patients

Locations

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3225 Rainbow Dr
Ste 207
Rainbow City, AL 35906
Phone (256) 390-3916

3102 Rainbow Dr
Ste 200
Rainbow City, AL 35906
Phone (256) 543-0717

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1396780474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DRIVE",
            "address_2": "SUITE 200",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-549-6387",
            "fax_number": "256-549-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR STE 200",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-549-6387",
            "fax_number": "256-549-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZENAVE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.