Active NPI
Ellen R. Strunk, PT, MS, GCS
- Physical Therapist
- Pelham, AL
National Provider Identifier
1508917691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1673
- Practice address
- 245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216 - Phone
- (205) 942-6820
- Fax
- (205) 942-5627
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- 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 | 1673 | AL | Primary |
Addresses
Primary practice location
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Mailing address
5602 Lake Trace Dr
Birmingham, AL 35244-3967
Phone (205) 682-9872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51531477 | Other | AL | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1673 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508917691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5602 LAKE TRACE DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352443967",
"telephone_number": "205-682-9872",
"fax_number": "205-682-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "205-942-6820",
"fax_number": "205-942-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUNK",
"first_name": "ELLEN",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "PT, MS, GCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "1673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51531477",
"state": "AL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.