Active NPI
Amy Black Thomas, PT
- Pediatric Physical Therapist
- Tuscaloosa, AL
National Provider Identifier
1528047032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTH4261
- Practice address
- 1792 McFarland Blvd N
Suite B
Tuscaloosa, AL 35406-2185 - Phone
- (205) 342-2546
- Fax
- (205) 342-2540
- NPI assigned
- Jan 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PTH4261 | AL | Primary |
Addresses
Primary practice location
1792 McFarland Blvd N
Suite B
Tuscaloosa, AL 35406-2185
Mailing address
1792 McFarland Blvd N
Suite B
Tuscaloosa, AL 35406-2185
Phone (205) 342-2546
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-19572 | Other | AL | BLUE CROSS PROVIDER # |
| 04318 | Other | AL | CRS PROVIDER # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4261 | AL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marsh Pediatric Therapy, LLC | 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
- Tuscaloosa, AL
- NPI 1386643716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1528047032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 MCFARLAND BLVD N",
"address_2": "SUITE B",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062185",
"telephone_number": "205-342-2546",
"fax_number": "205-342-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 MCFARLAND BLVD N",
"address_2": "SUITE B",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062185",
"telephone_number": "205-342-2546",
"fax_number": "205-342-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMY",
"middle_name": "BLACK",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AL",
"license": "PTH4261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "515-19572",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRS PROVIDER #",
"identifier": "04318",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.