Vulcan Performance Mountain Brook, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VULCAN PERFORMANCE MOUNTAIN BROOK, LLC

Practice address

3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417

Phone

(205) 761-1068

Fax

(205) 719-4158

NPI assigned

Aug 21, 2023

Organization subpart

Yes

Parent organization

VULCAN PERFORMANCE REHABILITATION AND RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

Sean Allen Hiller, DPTNPI 1578087698

Title

Business Owner, Ceo

Phone

(205) 761-1068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

Vulcan Performance Rehabilitation and Recovery LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vulcan Performance Rehabilitation and Recovery LLC

  • Physical Therapist
  • Mountain BRK, AL
  • NPI 1053822312
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Allen Hiller, PT, DPT, CSCS

  • Physical Therapist
  • Mountain BRK, AL
  • NPI 1578087698
  Medicare reassignment NPD Authorized official
• Christian Peters, PT, DPT

  • Physical Therapist
  • Mountain BRK, AL
  • NPI 1154059772
  Medicare reassignment NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1548044712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 101",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132417",
            "telephone_number": "205-761-1068",
            "fax_number": "205-719-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 101",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132417",
            "telephone_number": "205-761-1068",
            "fax_number": "205-719-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VULCAN PERFORMANCE MOUNTAIN BROOK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VULCAN PERFORMANCE REHABILITATION AND RECOVERY LLC",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "BUSINESS OWNER, CEO",
        "authorized_official_telephone_number": "205-761-1068",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urostat Healthcare, Inc.
• Beau Taylor Vandiver, MD
• Andrew Joseph Velazquez, MD
• Maegan Renee Vick, LPC
• Visionsouth PC
• Vulcan Performance Rehabilitation and Recovery LLC
• Christina Jones Wade, LMT
• Mary Tate Thomas Wade, ALC, MA
• Stephen Wade, LMT
• Talia Waitkus, LCSW BCBA

• Physical Therapist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.