Active NPI
Merrell T Ponder, DPT
- Physical Therapist
- Haleyville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH5598
- Practice address
- 42024 Highway 195
Haleyville, AL 35565-7054 - Phone
- (205) 485-7150
- NPI assigned
- Dec 27, 2009
- Last updated
- Dec 27, 2009
- Sex
- Male
- 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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Solutions of Montgomery, LLC | Physical Therapist | Current | Accepting new patients |
| PT Solutions of Montgomery, LLC | Physical Therapist | Current | Accepting new patients |
| Over the Mountain Rehab, Inc | Past | Accepting new patients | |
| Over the Mountain Rehab, Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Montgomery, AL
- NPI 1073558086
-
- Physical Therapist
- Columbiana, AL
- NPI 1619636495
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1639576887
-
- Occupational Therapist
- Birmingham, AL
- NPI 1306111307
-
- Physical Therapist
- Homewood, AL
- NPI 1376610865
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.