Jacqueline Probst Hubbard, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8523 Issued in AL

Practice address

4280 Watermelon Rd Ste 113
Northport, AL 35473-5250

Phone

(205) 349-2525

Fax

(205) 349-2925

NPI assigned

Aug 9, 2017

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Tuscaloosa Ear Nose and Throat Center PCGroup PAC ID 0648293514, 9 clinicians

Alabama FyzicalGroup PAC ID 3072946185, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alabama Fyzical

  dba Fyzical Health

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1043860893

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tuscaloosa Ear Nose & Throat Center PC

  • Otolaryngology Physician
  • Tuscaloosa, AL
  • NPI 1407914245
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1659896801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCFARLAND BLVD STE F",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 113",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-349-2525",
            "fax_number": "205-349-2925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 McFarland Blvd NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354062283",
            "country_code": "US",
            "telephone_number": "205-758-9041",
            "fax_number": "205-345-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JACQUELINE",
        "middle_name": "PROBST",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Deloise Hood
• Kaitlin Killian Hood, DRNP
• Shannon Nichols House, RPH
• Morgan Hannah Houston
• Brandi Nail Hubbard, CRNP, FNP-BC
• Kirsten Hubbard, OTD
• Zachary Grant Hunt, PHARM.D
• Hunter Creek Health and Rehabilitation LLC
• Kerry Rushing Hyche, RN
• Bryan Anthony Hypolite

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.