Organization Active NPI

Cullman Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Cullman, AL
National Provider Identifier
1407164882
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH 3430 Issued in AL
Legal business name
CULLMAN PHYSICAL THERAPY, LLC
Practice address
1724 2ND Ave NW
Cullman, AL 35055-5820
Phone
(205) 566-4622
Fax
(256) 894-3872
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mrs. Kathleen Terrell
Title
President
Phone
(205) 566-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PTH 3430 AL Primary

Addresses

Primary practice location

1724 2ND Ave NW
Cullman, AL 35055-5820

Mailing address

1724 2ND Ave NW
Cullman, AL 35055-5820
Phone (205) 566-4622

National Provider Directory

National Provider Directory

Locations

1724 2nd Ave NW
Ste 2
Cullman, AL 35055
Phone (256) 894-3870

117 2nd Ave SE
Cullman, AL 35055
Phone (256) 291-8877

1724 2nd Ave NW
Cullman, AL 35055
Phone (205) 566-4622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1407164882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 2ND AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555820",
            "telephone_number": "205-566-4622",
            "fax_number": "256-894-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 2ND AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555820",
            "telephone_number": "205-566-4622",
            "fax_number": "256-894-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-566-4622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH 3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.