Individual provider Active NPI

Brett Alan Langham, PT, DPT

  • Physical Therapist
  • Trussville, AL
National Provider Identifier
1568943017
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9069 Issued in AL
Practice address
5057 Pinnacle Square
Trussville, AL 35235
Phone
(205) 655-9222
Fax
(205) 655-9233
NPI assigned
Aug 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9069 AL Primary

Addresses

Primary practice location

5057 Pinnacle Square
Trussville, AL 35235

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

2846 Moody Pkwy Ste 200
Moody, AL 35004-3329
Phone (205) 640-0257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025002557 AL Practitioner - Physical Therapist in Private Practice 2567715238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Elevate Physical Therapy and Performance LLCGroup PAC ID 9234673880, 3 clinicians

Practice addresses (Care Compare)

157 Resource Ctr Pkwy
Suite 103
Birmingham, AL 35242-8135
Phone (229) 402-3338

2301 Old Columbiana Rd
Vestavia Hills, AL 35216-2568
Phone (251) 377-1133

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients
Elevate Physical Therapy and Performance LLC Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist PastSince Apr 1, 2019 Accepting new patients

Locations

157 Resource Center Pkwy
Ste 103
Birmingham, AL 35242
Phone (229) 402-3338

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

1539 Montgomery Hwy
Ste 111
Hoover, AL 35216
Phone (205) 510-7023

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1568943017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 PINNACLE SQUARE",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-655-9222",
            "fax_number": "205-655-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2846 Moody Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043329",
            "country_code": "US",
            "telephone_number": "205-640-0257",
            "fax_number": "205-640-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.