NPIMap

Organization Active NPI

Therapy South Leeds LLC

  • Physical Therapist
  • Leeds, AL
National Provider Identifier
1437699436
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8159 Issued in AL
Legal business name
THERAPY SOUTH LEEDS LLC
Practice address
1101 Higrove Pkwy
Suite 125
Leeds, AL 35094-1703
Phone
(205) 699-1220
Fax
(205) 699-1226
NPI assigned
Feb 24, 2017
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Jennifer Hayes
Title
Billing MGR
Phone
(205) 745-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH8159 AL Primary

Addresses

Primary practice location

1101 Higrove Pkwy
Suite 125
Leeds, AL 35094-1703

Mailing address

2823 Greystone Comm Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524001713 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759658628 Receives reassigned benefits from 6 practitioners
Practice locations: Leeds, AL

National Provider Directory

National Provider Directory

Locations

1101 Higrove Pkwy
Ste 125
Leeds, AL 35094
Phone (205) 699-1220

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1437699436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMM BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGROVE PKWY",
            "address_2": "SUITE 125",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350941703",
            "telephone_number": "205-699-1220",
            "fax_number": "205-699-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOUTH LEEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "205-745-3660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.