NPIMap

Organization Active NPI

Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Haleyville, AL
National Provider Identifier
1629400189
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY-ALABAMA, LLC
Practice address
42417 Highway 195
Suite 100
Haleyville, AL 35565-7198
Phone
(205) 486-8811
Fax
(205) 486-8812
NPI assigned
Aug 6, 2013
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Luke A DrayerNPI 1346295664
Title
Chairman and Ceo
Phone
(717) 220-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

42417 Highway 195
Suite 100
Haleyville, AL 35565-7198

Mailing address

42417 Highway 195
Suite 100
Haleyville, AL 35565-7198
Phone (205) 486-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150417000513 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395970560 Receives reassigned benefits from 242 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bessemer, AL; Vestavia, AL; Tuscaloosa, AL; Trussville, AL; Talladega, AL; Rainbow City, AL; Prattville, AL; Oneonta, AL…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory

Locations

42417 Highway 195
Ste 100
Haleyville, AL 35565
Phone (205) 486-8811

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1629400189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42417 HIGHWAY 195",
            "address_2": "SUITE 100",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657198",
            "telephone_number": "205-486-8811",
            "fax_number": "205-486-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42417 HIGHWAY 195",
            "address_2": "SUITE 100",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657198",
            "telephone_number": "205-486-8811",
            "fax_number": "205-486-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY-ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "DRAYER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.