Individual provider Active NPI

Merrell T Ponder, DPT

  • Physical Therapist
  • Haleyville, AL
National Provider Identifier
1598095432
Registry record updated Dec 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH5598 Issued in AL
Practice address
42024 Highway 195
Haleyville, AL 35565-7054
Phone
(205) 485-7150
NPI assigned
Dec 27, 2009
Last updated
Dec 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2009

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 PTH5598 AL Primary

Addresses

Primary practice location

42024 Highway 195
Haleyville, AL 35565-7054

Mailing address

210 Butler St
Columbiana, AL 35051-9353
Phone (205) 269-7651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000535 AL Practitioner - Physical Therapist in Private Practice 0749458313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions of Montgomery LLCGroup PAC ID 6305891037, 10 clinicians

Practice addresses (Care Compare)

7061 Halcyon Summit Dr
Montgomery, AL 36117-6927
Phone (334) 396-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Montgomery, LLC Physical Therapist CurrentSince Jan 23, 2020 Accepting new patients
PT Solutions of Montgomery, LLC Physical Therapist CurrentSince Jan 23, 2020 Accepting new patients
Over the Mountain Rehab, Inc Past Accepting new patients
Over the Mountain Rehab, Inc Physical Therapist PastSince Mar 26, 2003 Accepting new patients
Jason D. Cobb, MD, LLC Past Accepting new patients

Locations

2972 Carter Hill Rd
Montgomery, AL 36106
Phone (334) 288-8353

7061 Halcyon Summit Dr
Montgomery, AL 36117
Phone (334) 396-2110

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261872000000",
    "number": "1598095432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BUTLER ST",
            "city": "COLUMBIANA",
            "state": "AL",
            "postal_code": "350519353",
            "telephone_number": "205-269-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42024 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-485-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "MERRELL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-27",
        "last_updated": "2009-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; 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.