Organization Active NPI

Total Rehab Physical Therapy LLC

  • Physical Therapist
  • Auburn, AL
National Provider Identifier
1407047574
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2853 Issued in AL
Legal business name
TOTAL REHAB PHYSICAL THERAPY LLC
Practice address
2515 E Glenn Ave
Suite 104
Auburn, AL 36830-6453
Phone
(334) 821-2256
Fax
(334) 826-8082
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Thomas Evans, P.T.
Title
Physical Therapist
Phone
(334) 821-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTH2853 AL Primary

Addresses

Primary practice location

2515 E Glenn Ave
Suite 104
Auburn, AL 36830-6453

Mailing address

2515 E Glenn Ave
Suite 104
Auburn, AL 36830-6453
Phone (334) 821-2256

Other identifiers 2

IdentifierTypeStateIssuer
51512447OtherALBLUECROSS BLUESHIELD
P00039795OtherALPALMETTOGB-RAILROAD

National Provider Directory

National Provider Directory

Locations

2515 E Glenn Ave
Ste 104
Auburn, AL 36830
Phone (334) 821-2256

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1407047574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E GLENN AVE",
            "address_2": "SUITE 104",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306453",
            "telephone_number": "334-821-2256",
            "fax_number": "334-826-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E GLENN AVE",
            "address_2": "SUITE 104",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306453",
            "telephone_number": "334-821-2256",
            "fax_number": "334-826-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REHAB PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "334-821-2256",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51512447",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTOGB-RAILROAD",
            "identifier": "P00039795",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.