Active NPI
Corey Irby, DPT
- Physical Therapist
- Pelham, AL
National Provider Identifier
1477986156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6920
- Practice address
- 3569 Pelham Pkwy
Suite 7
Pelham, AL 35124-2033 - Phone
- (205) 664-8404
- Fax
- (205) 664-8559
- NPI assigned
- Aug 16, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH6920 | AL | Primary |
Addresses
Primary practice location
3569 Pelham Pkwy
Suite 7
Pelham, AL 35124-2033
Mailing address
2807 Greystn Com Blvd
Birmingham, AL 35242-9600
Phone (205) 745-3650
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6920 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Godspeed Esa Hoover Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Hoover, AL
- NPI 1336759257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1477986156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 GREYSTN COM BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352429600",
"telephone_number": "205-745-3650",
"fax_number": "205-745-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 PELHAM PKWY",
"address_2": "SUITE 7",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242033",
"telephone_number": "205-664-8404",
"fax_number": "205-664-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRBY",
"first_name": "COREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6920",
"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 Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.