Organization Active NPI

Cullman Physical Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Cullman, AL
National Provider Identifier
1467636829
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CULLMAN PHYSICAL MEDICINE, P.C.
Practice address
1701 Main Ave SW
Suite D
Cullman, AL 35055-5299
Phone
(256) 736-8998
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Theodore Scott Powers, M.D.NPI 1851320501
Title
Owner/Physician
Phone
(256) 736-8998

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1701 Main Ave SW
Suite D
Cullman, AL 35055-5299

Mailing address

PO Box 870
Cullman, AL 35056-0870
Phone (256) 775-0432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000730 AL Part B Supplier - Clinic/Group Practice 9133203847 Receives reassigned benefits from 1 practitioner
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

1701 Main Ave SW
Ste D
Cullman, AL 35055
Phone (256) 736-8998

1942 AL Highway 157
Cullman, AL 35058
Phone (256) 736-8998

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1467636829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350560870",
            "telephone_number": "256-775-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAIN AVE SW",
            "address_2": "SUITE D",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555299",
            "telephone_number": "256-736-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN PHYSICAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-736-8998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.