Fyzical of Montgomery, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FYZICAL OF MONTGOMERY, LLC

Practice address

129 Mitylene Park LN
Montgomery, AL 36117-7302

Phone

(334) 593-4462

Fax

(334) 593-4135

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Dustin Clary, PT

Title

Owner/Physical Therapist

Phone

(334) 593-4462

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1639712656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 MONTICELLO DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171940",
            "telephone_number": "334-593-4462",
            "fax_number": "334-593-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-593-4462",
            "fax_number": "334-593-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL OF MONTGOMERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "CLARY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "334-593-4462",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MONTGOMERY",
            "affiliation": "N",
            "address_1": "129 Mitylene Park Ln",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361177302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Fulgham, PHD
• Catelin Alyssa Fulghum, PHARMD
• Della K Fuller
• Chere Lynn Fulmer, MD
• Mary Mabson Furnald, LPC
• G. Perrin Underwood, M.D. P.C.
• Saurabh Gaba, MD
• Gabbies Residential Care
• Gabriel U Nazareno
• Roshanda Hogue Gaddis, R.D., L.D.

• Physical Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.