Sudha Samu, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH7403 Issued in AL

Practice address

83825 Highway 9
Ashland, AL 36251-7981

Phone

(256) 354-1195

Fax

(256) 354-1294

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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.

• Fox Rehab PT Al LLC

  • Physical Therapist
  • Huntsville, AL
  • NPI 1962128488
  Medicare reassignment NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1659979235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "362511270",
            "telephone_number": "256-354-1195",
            "fax_number": "256-354-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83825 HIGHWAY 9",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "362517981",
            "telephone_number": "256-354-1195",
            "fax_number": "256-354-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMU",
        "first_name": "SUDHA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15326",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grady Lee Rollins Jr., LPTA
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• Bridgett Nicole Rush, DO
• Charles Daniel Rush, DMD
• Rodney Dale Rush, RPH
• Jatori Simmons
• Stanley Smith Sr., RPH
• Southeastern Diagnostics, LLC
• Savannah Taylor
• Tri City PT Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.