Physiotherapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Doing business as

Champion Sports Medicine - Greystone

Practice address

201 Doug Baker Blvd
Birmingham, AL 35242-2013

Phone

(205) 408-0700

Fax

(205) 408-0702

NPI assigned

Sep 17, 2006

Last updated

Nov 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Tarvin

Title

Vice President and Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Champion Sports Medicine - Greystone Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Physiotherapy Associates, Inc.

  dba Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Hoover, AL
  • NPI 1124687702

  O20111003000584

  Same enrollment
• Physiotherapy Associates, Inc.

  dba Champion Sports Medicine

  • Rehabilitation Clinic/Center
  • Hueytown, AL
  • NPI 1942869524

  O20111003000584

  Same enrollment

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1659478394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOUG BAKER BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422013",
            "telephone_number": "205-408-0700",
            "fax_number": "205-408-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Sports Medicine - Greystone",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Sports Medicine - Greystone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physicians Medical Center, LLC (Physicians Medical Center Carraway)
• Physiobaby Physical Therapy & Wellness, LLC (PhysioBaby Therapy & Wellness, LLC)
• Physiotherapy Associates
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc (Phyysiotherapy Associates)
• Jessica Pia, MD
• Bayleigh Elizabeth Piatt, PA
• Janet F Piazza, CRNA
• Paula Tribble Piazza, LPC
• Wendy Waldrop Piazza, M.S., CCC-SLP

• Physical Therapy Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.