Individual provider Active NPI

Jared Mims, DPT

  • Physical Therapist
  • Gardendale, AL
National Provider Identifier
1639768666
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
210 Fieldstown Rd Ste 108
Gardendale, AL 35071-2418
Phone
(205) 285-2180
Fax
(205) 285-2181
NPI assigned
Jan 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 Primary

Addresses

Primary practice location

210 Fieldstown Rd Ste 108
Gardendale, AL 35071-2418

Mailing address

2700 10TH Ave S Ste 200
Birmingham, AL 35205-1248
Phone (205) 933-7838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210205001608 AL Practitioner - Physical Therapist in Private Practice 2769896596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincent'S Orthopedics, PCGroup PAC ID 5294637252, 15 clinicians
STV Orthopedic Surgeons LLCGroup PAC ID 8224313614, 15 clinicians

Practice addresses (Care Compare)

2700 10TH Ave S
Suite 200
Birmingham, AL 35205-1248
Phone (205) 933-7838

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Merit-based Incentive Payment System (MIPS)

Final score
47.8 of 100Reported as group
Quality
22.97
Promoting interoperability
23
Improvement activities
40
Cost
67.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uab STV Orthopedics, LLC CurrentSince Sep 7, 2024 Accepting new patients
St. Vincent'S Orthopedics, PC CurrentSince Sep 7, 2024 Accepting new patients
Maximum Physical Therapy and Sports Wellness, Inc Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients

Locations

2700 10th Ave S
Ste 200
Birmingham, AL 35205
Phone (205) 938-7838

2680 Valleydale Rd
Ste A
Hoover, AL 35244
Phone (205) 317-5417

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1639768666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051248",
            "telephone_number": "205-933-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FIELDSTOWN RD STE 108",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712418",
            "telephone_number": "205-285-2180",
            "fax_number": "205-285-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "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 Nov 20, 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.

Verify at the official NPI Registry.