Active NPI
Aytree Blalock, PT
- Physical Therapist
- Birmingham, AL
National Provider Identifier
1558336446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4545
- Practice address
- 200 Montgomery Hwy
Suite 125
Birmingham, AL 35216-1842 - Phone
- (205) 822-9595
- Fax
- (205) 978-4964
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH4545 | AL | Primary |
Addresses
Primary practice location
200 Montgomery Hwy
Suite 125
Birmingham, AL 35216-1842
Mailing address
200 Montgomery Hwy
Suite 125
Birmingham, AL 35216-1842
Phone (205) 822-9595
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4545 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1558336446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MONTGOMERY HWY",
"address_2": "SUITE 125",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352161842",
"telephone_number": "205-822-9595",
"fax_number": "205-978-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MONTGOMERY HWY",
"address_2": "SUITE 125",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352161842",
"telephone_number": "205-822-9595",
"fax_number": "205-978-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLALOCK",
"first_name": "AYTREE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.