Therapy South - Woodlawn LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPY SOUTH - WOODLAWN LLC

Practice address

5831 1St Ave N Ste 100
Birmingham, AL 35212-1605

Phone

(205) 502-2270

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Stephen FosterNPI 1073626206

Title

President

Phone

(205) 745-3660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Therapy South Woodlawn LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison W Fowlkes, PT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1245332113
  Medicare reassignment Care Compare group NPD
• Michael Alan Spooner, PT, ATC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1932318235
  Medicare reassignment Care Compare group NPD
• Derek John Vangerwen, DPT

  • Physical Therapist
  • Belle Chasse, LA
  • NPI 1386984094

  AL

  Medicare reassignment NPD
• Stephen Mark Foster, PT

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1073626206
  NPD (past) Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1659036705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 1ST AVE N STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352121605",
            "telephone_number": "205-502-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOUTH - WOODLAWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-745-3660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE NUMBER",
            "identifier": "2055022270",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy South Woodlawn LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Theiss
• Sabrina Zina Thelen, PSYD
• Jamie Theodore
• Thera Connection Inc
• Therapy South - Uab
• Therapy South Greystone, LLC
• Therapy South Lakeview LLC
• Therapy South Liberty Park LLC
• Therapy South Mountain Brook
• Therapy South Patchwork Farms LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.