Active NPI
Daniel C Womble, ATC
- Athletic Trainer
- Ralph, AL
National Provider Identifier
1477099638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 16047 Wesley Chapel Rd
Ralph, AL 35480-9554 - Phone
- (205) 454-4810
- NPI assigned
- Jan 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
16047 Wesley Chapel Rd
Ralph, AL 35480-9554
Mailing address
16047 Wesley Chapel Rd
Ralph, AL 35480-9554
Other practice location 1
7721 Airport Blvd Ste E120
Mobile, AL 36608-5052
Phone (251) 631-3680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of Alabama, LLC | Past | Accepting new patients | |
| Benchmark Physical Therapy of Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Mobile, AL
- NPI 1700336690
-
- Physical Therapist
- Chattanooga, TN
- NPI 1659642916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1477099638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16047 WESLEY CHAPEL RD",
"city": "RALPH",
"state": "AL",
"postal_code": "354809554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16047 WESLEY CHAPEL RD",
"city": "RALPH",
"state": "AL",
"postal_code": "354809554",
"telephone_number": "205-454-4810"
}
],
"practiceLocations": [
{
"address_1": "7721 Airport Blvd Ste E120",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366085052",
"country_code": "US",
"telephone_number": "251-631-3680",
"fax_number": "251-631-3681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOMBLE",
"first_name": "DANIEL",
"middle_name": "C",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-12",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ralph, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.