Organization Active NPI

King Rehabilitation, LLC

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1508296203
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1300 Issued in AL
Legal business name
KING REHABILITATION, LLC
Practice address
4155 Lomac St
Suite D
Montgomery, AL 36106-2864
Phone
(334) 270-4111
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Carolyn KingNPI 1841484052
Title
P.T., M.S./Owner
Phone
(334) 270-4111

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 TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1300 AL Primary

Addresses

Primary practice location

4155 Lomac St
Suite D
Montgomery, AL 36106-2864

Mailing address

4155 Lomac St
Suite D
Montgomery, AL 36106-2864
Phone (334) 270-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211001125 AL Part B Supplier - Clinic/Group Practice 9335378538 Receives reassigned benefits from 2 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

4155 Lomac St
Ste D
Montgomery, AL 36106
Phone (334) 270-4111

Practitioners & affiliated clinicians

Practitioners 2

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1508296203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 LOMAC ST",
            "address_2": "SUITE D",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062864",
            "telephone_number": "334-270-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 LOMAC ST",
            "address_2": "SUITE D",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062864",
            "telephone_number": "334-270-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "P.T., M.S./OWNER",
        "authorized_official_telephone_number": "334-270-4111"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.