Organization Active NPI

Trinity Physical Therapy, LLC

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1417196221
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRINITY PHYSICAL THERAPY, LLC
Practice address
7402 Highway 69 S Ste G
Tuscaloosa, AL 35405-1301
Phone
(205) 758-5832
Fax
(205) 758-5834
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mr. Ausie Jeffrey Beams, RPTNPI 1801975628
Title
Physical Therapist
Phone
(404) 944-3991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1801975628 GA
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7402 Highway 69 S Ste G
Tuscaloosa, AL 35405-1301

Mailing address

7402 Highway 69 S Ste G
Tuscaloosa, AL 35405-1301
Phone (205) 758-5832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090626000139 AL Part B Supplier - Clinic/Group Practice 7012068307 Receives reassigned benefits from 1 practitioner
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

6551 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 752-4434

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": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1417196221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S STE G",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051301",
            "telephone_number": "205-758-5832",
            "fax_number": "205-758-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S STE G",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051301",
            "telephone_number": "205-758-5832",
            "fax_number": "205-758-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "AUSIE",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "404-944-3991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1801975628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.