Organization Active NPI

Specialized Therapy Services, Inc.

  • Physical Therapist
  • Daphne, AL
National Provider Identifier
1518339001
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH-3828 Issued in AL
Legal business name
SPECIALIZED THERAPY SERVICES, INC.
Practice address
8720 Rand Ave
Daphne, AL 36526-9102
Phone
(251) 990-9082
Fax
(251) 990-3707
NPI assigned
Oct 23, 2015
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Mrs. Jill Van Camp Lott, MPT, PRPC, BCB-PMDNPI 1760598098
Title
Owner / President
Phone
(251) 990-9082

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH-3828 AL Primary
Neurology Physical Therapist 2251N0400X PTH-3828 AL
Orthopedic Physical Therapist 2251X0800X PTH-3828 AL

Addresses

Primary practice location

8720 Rand Ave
Daphne, AL 36526-9102

Mailing address

2200 US Highway 98 Ste 4
#320
Daphne, AL 36526-4382
Phone (251) 990-9082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151123000221 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113227240 Receives reassigned benefits from 2 practitioners
Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Locations

2200 US Highway 98
Ste 4
Daphne, AL 36526
Phone (251) 298-4236

8720 Rand Ave
Daphne, AL 36526
Phone (251) 990-9082

720 Middle St
Fairhope, AL 36532
Phone (251) 990-9082

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1518339001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 US HIGHWAY 98 STE 4",
            "address_2": "#320",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264382",
            "telephone_number": "251-990-9082",
            "fax_number": "251-990-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 RAND AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269102",
            "telephone_number": "251-990-9082",
            "fax_number": "251-990-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "VAN CAMP",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "251-990-9082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT, PRPC, BCB-PMD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH-3828",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AL",
            "license": "PTH-3828",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH-3828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.