Charles Joel Underwood III, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8090 Issued in AL

Practice address

201 Office Park Dr Ste 150
Mountain BRK, AL 35223-2400

Phone

(205) 278-2250

Fax

(205) 278-2299

NPI assigned

Jul 29, 2016

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.04 of 100Reported as group

Quality

90

Improvement activities

40

Cost

71.81

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 26)

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.

• Ati Holdings of Alabama, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1407309156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OFFICE PARK DR STE 150",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232400",
            "telephone_number": "205-278-2250",
            "fax_number": "205-278-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "CHARLES",
        "middle_name": "JOEL",
        "name_suffix": "III",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cattiyan Thien Huong Tran, MA, ALC, NCC
• Phillip A Triantos, MD
• Anthony Michael Turkiewicz, MD
• Jordan Tynes
• David Henry Tytell, PSY.D.
• United Counseling
• United States Pharmaceutical Group, LLC (NationsHealth)
• Urostat Healthcare, Inc. (UroStat Helathcare, Inc.)
• Beau Taylor Vandiver, MD
• Andrew Joseph Velazquez, MD

• Physical Therapist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.