Active NPI
Beau Caviness, PT
- Physical Therapist
- Gardendale, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 550 Fieldstown Rd
Gardendale, AL 35071-2590 - Phone
- (205) 418-1482
- Fax
- (205) 608-5179
- NPI assigned
- Feb 27, 2024
- Last updated
- Apr 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PTH11733 | AL | |
| Physical Therapist | 225100000X | AL | Primary |
Addresses
Primary practice location
550 Fieldstown Rd
Gardendale, AL 35071-2590
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
833 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1609
Phone (205) 730-3190
Other practice location 2
550 Fieldstown Rd
Gardendale, AL 35071-2590
Phone (205) 418-1482
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Fieldstown Rd
Gardendale, AL 35071-2590
Phone (205) 418-1482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH11733 | AL | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Alabama, LLC | Physical Therapist | Current | Accepting new patients |
Locations
634 1st St N
Ste 100
Alabaster, AL 35007
Phone (205) 728-2535
833 Saint Vincents Dr
Ste 100
Birmingham, AL 35205
Phone (205) 730-3190
9256 Parkway E
Ste A
Birmingham, AL 35206
Phone (205) 855-2003
1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701
323 Fieldstown Rd
Ste 105
Gardendale, AL 35071
Phone (205) 607-3217
550 Fieldstown Rd
Gardendale, AL 35071
Phone (205) 418-1482
1401 Doug Baker Blvd
Ste 104
Hoover, AL 35242
Phone (205) 730-3660
2804 John Hawkins Pkwy
Ste 104
Hoover, AL 35244
Phone (205) 201-7747
3650 Bethune Dr
Mountain Brk, AL 35223
Phone (205) 243-8950
106 6th St S
Ste A
Oneonta, AL 35121
Phone (205) 460-3817
301 Huntley Pkwy
Pelham, AL 35124
Phone (205) 564-9117
3143 Pelham Pkwy
Ste 400
Pelham, AL 35124
Phone (205) 664-3197
3735 Corporate Woods Dr
Ste 109
Vestavia, AL 35242
Phone (205) 201-7358
636 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 533-7066
790 Remington Blvd
Bolingbrook, IL 60440
Organizations & group practices 1
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": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1619733649",
"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": "550 FIELDSTOWN RD",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350712590",
"telephone_number": "205-418-1482",
"fax_number": "205-608-5179"
}
],
"practiceLocations": [
{
"address_1": "833 Saint Vincents Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352051609",
"country_code": "US",
"telephone_number": "205-730-3190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Fieldstown Rd",
"address_purpose": "LOCATION",
"city": "Gardendale",
"state": "AL",
"postal_code": "350712590",
"country_code": "US",
"telephone_number": "205-418-1482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVINESS",
"first_name": "BEAU",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-27",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AL",
"license": "PTH11733",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardendale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.