Active NPI
Physical Medicine and Rehabilitation of Alabama PC
- Pediatric Rehabilitation Medicine Physician
- Pelham, AL
National Provider Identifier
1447845136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- Legal business name
- PHYSICAL MEDICINE AND REHABILITATION OF ALABAMA PC
- Practice address
- 900 Oak Mountain Commons LN
Pelham, AL 35124-1484 - Phone
- (205) 216-7600
- NPI assigned
- Mar 4, 2021
- 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
- Keneshia M Kirksey, MD
- Title
- Physician
- Phone
- (704) 877-9974
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | Primary |
Addresses
Primary practice location
900 Oak Mountain Commons LN
Pelham, AL 35124-1484
Mailing address
900 Oak Mountain Commons LN
Pelham, AL 35124-1484
Phone (205) 216-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
900 Oak Mountain Commons Ln
#L
Pelham, AL 35124
Phone (205) 216-7600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Birmingham, AL
- NPI 1023147873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1447845136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 OAK MOUNTAIN COMMONS LN",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241484",
"telephone_number": "205-216-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 OAK MOUNTAIN COMMONS LN",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241484",
"telephone_number": "205-216-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL MEDICINE AND REHABILITATION OF ALABAMA PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A",
"authorized_official_last_name": "KIRKSEY",
"authorized_official_first_name": "KENESHIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "704-877-9974",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.