Individual provider Active NPI

Aaron Anson Legall, PT, DPT

  • Physical Therapist
  • Russellville, AL
National Provider Identifier
1457580912
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8154 Issued in AL
Practice address
1136 Ronnie McDowell Ave
Russellville, AL 35654-8396
Phone
(256) 398-8702
Fax
(256) 398-8683
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.011889 VT
Physical Therapist 225100000X PTH8154 AL Primary
Physical Therapist 225100000X 10924 TN

Addresses

Primary practice location

1136 Ronnie McDowell Ave
Russellville, AL 35654-8396

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161027001265 AL Practitioner - Physical Therapist in Private Practice 9739375643 Reassigns benefits to 3 organizations
I20201129000003 TN Practitioner - Physical Therapist in Private Practice 9739375643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10924TNMDPharmacotherapy Pharmacist
PT.011889VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Nov 14, 2016 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 3, 2023 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Nov 14, 2016 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
Independent Physical Therpay, LLC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 3, 2023 Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

16390 Highway 72
Rogersville, AL 35652
Phone (256) 233-2332

1136 Ronnie McDowell Ave
Russellville, AL 35654
Phone (256) 398-8702

2531 Rocky Ridge Rd
Ste 101
Vestavia, AL 35243
Phone (205) 453-9350

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

9305 S Northshore Dr
Knoxville, TN 37922
Phone (865) 643-8695

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1457580912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 RONNIE MCDOWELL AVE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356548396",
            "telephone_number": "256-398-8702",
            "fax_number": "256-398-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGALL",
        "first_name": "AARON",
        "middle_name": "ANSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "PT.011889",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8154",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.