Therapy South Gardendale LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPY SOUTH GARDENDALE LLC

Practice address

1011 Main St
Gardendale, AL 35071-5401

Phone

(205) 651-4350

NPI assigned

Jan 5, 2023

Organization subpart

No

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

Authorized official

Name

Stephen FosterNPI 1073626206

Title

President

Phone

(205) 745-3660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

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

• Nicholas Bagwell, DPT

  • Physical Therapist
  • Gardendale, AL
  • NPI 1679337893
  Medicare reassignment Care Compare group NPD
• Zachary Clemens

  • Physical Therapist
  • Birmingham, AL
  • NPI 1619537065
  Medicare reassignment Care Compare group NPD
• Robert Jackson

  • Physical Therapist
  • Birmingham, AL
  • NPI 1538701487
  Medicare reassignment NPD
• Stephen Mark Foster, PT

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1073626206
  NPD (past) Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1407569346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAIN ST",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350715401",
            "telephone_number": "205-651-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOUTH GARDENDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-745-3660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE",
            "identifier": "2056514350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hope Tedescucci
• Jeffrey A. Terrell, P.T.
• Julia Ann Terrell, CRNP
• Alisha L Thacker, DNP, CRNP, FNP-C
• Theraplay Pediatric Sensory Gym
• Thomas a Douyard
• Dolores Davenport Thomas, CRNP
• Harley Danielle Thomas
• Karen Thornton
• Kristen Paige Thrasher, DC

• Physical Therapist in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.