Active NPI
Park Place Healthcare LLC
- Physical Medicine & Rehabilitation Physician
- Vestavia, AL
National Provider Identifier
1407547839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PARK PLACE HEALTHCARE LLC
- Practice address
- 2868 Acton Rd
Vestavia, AL 35243-2502 - Phone
- (205) 900-7337
- NPI assigned
- May 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jena Bryant
- Title
- Director RCM
- Phone
- (205) 577-6265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2868 Acton Rd
Vestavia, AL 35243-2502
Mailing address
2868 Acton Rd
Vestavia, AL 35243-2502
Phone (205) 332-3160
Other names 1
- Park Place Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2290441 | Park Place Healthcare, LLC | Accreditation | Nov 25, 2026 |
National Provider Directory
National Provider DirectoryLocations
3735 Corporate Woods Dr
Vestavia, AL 35242
Phone (205) 977-9290
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Vestavia, AL
- NPI 1760967160
-
- Pediatric Nurse Practitioner
- Birmingham, AL
- NPI 1740682251
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Vestavia, AL
- NPI 1134339799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1407547839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 ACTON RD",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352432502",
"telephone_number": "205-332-3160",
"fax_number": "866-702-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 ACTON RD",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352432502",
"telephone_number": "205-900-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK PLACE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "JENA",
"authorized_official_title_or_position": "DIRECTOR RCM",
"authorized_official_telephone_number": "205-577-6265"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Place Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.