Individual provider Active NPI

Wilson Simpson, PT, DPT

  • Physical Therapist
  • Mountain BRK, AL
National Provider Identifier
1629768031
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11316 Issued in AL
Practice address
201 Office Park Dr
Mountain BRK, AL 35223-2424
Phone
(205) 278-2250
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 PTH11316 AL Primary

Addresses

Primary practice location

201 Office Park Dr
Mountain BRK, AL 35223-2424

Mailing address

201 Office Park Dr
Mountain BRK, AL 35223-2424
Phone (205) 278-2250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002256 AL Practitioner - Physical Therapist in Private Practice 0446693154 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

2729 3Rd Ave S
Birmingham, AL 35233-2705
Phone (205) 879-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11316ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ergoscience, Inc. CurrentSince Jul 26, 2023 Accepting new patients
Ergoscience, Inc Past Accepting new patients

Locations

1501 31st Ave N
Birmingham, AL 35207
Phone (205) 325-7001

2729 3rd Ave S
Birmingham, AL 35233
Phone (205) 731-9090

201 Office Park Dr
Ste 150
Mountain Brk, AL 35223
Phone (205) 278-2250

402 Office Park Dr
Ste 260
Mountain Brk, AL 35223
Phone (205) 879-6447

Organizations & group practices 2

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1629768031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OFFICE PARK DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232424",
            "telephone_number": "205-278-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OFFICE PARK DR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232424",
            "telephone_number": "205-278-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "WILSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.