Individual provider Active NPI

William Henry Farnell, PT

  • Physical Therapist
  • Semmes, AL
National Provider Identifier
1477535516
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4083 Issued in AL
Practice address
7965 Moffett Rd
Semmes, AL 36575-5409
Phone
(251) 645-3708
Fax
(251) 645-5837
NPI assigned
Nov 15, 2005
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH4083 AL Primary

Addresses

Primary practice location

7965 Moffett Rd
Semmes, AL 36575-5409

Mailing address

2048A S Broad St
Brookley Complex
Mobile, AL 36615-1285
Phone (251) 433-1414

Other identifiers 2

IdentifierTypeStateIssuer
051524913OtherALBCBS FOR SEMMES LOCATION
515-24718OtherALBC/BS PROV #-BROOKLEY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001412 AL Practitioner - Physical Therapist in Private Practice 8426020587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7965 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 645-3708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4083ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Semmes Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2004 Accepting new patients

Locations

7965 Moffett Rd
Semmes, AL 36575
Phone (251) 645-3708

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1477535516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048A S BROAD ST",
            "address_2": "BROOKLEY COMPLEX",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366151285",
            "telephone_number": "251-433-1414",
            "fax_number": "251-433-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755409",
            "telephone_number": "251-645-3708",
            "fax_number": "251-645-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNELL",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR SEMMES LOCATION",
            "identifier": "051524913",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROV #-BROOKLEY",
            "identifier": "515-24718",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Semmes, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.