Outlaw Physio LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OUTLAW PHYSIO LLC

Practice address

4211 Lennox Dr
Vestavia Hills, AL 35216-4550

Phone

(760) 500-3575

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Garrett Ryan Trummer, DPTNPI 1205471612

Title

Owner

Phone

(760) 500-3575

Specialties & licenses 1

Addresses

Practitioners 1

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

• Garrett Ryan Trummer

  • Physical Therapist
  • Hoover, AL
  • NPI 1205471612
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1417724451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 LENNOX DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164550",
            "telephone_number": "760-500-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 LENNOX DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164550",
            "telephone_number": "760-500-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLAW PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "TRUMMER",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-500-3575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.