Individual provider Active NPI

Cooper Brown, PT, DPT

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1669051884
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10228 Issued in AL
Practice address
1300 McFarland Blvd NE Ste 150
Tuscaloosa, AL 35406-2283
Phone
(205) 758-9041
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 PTH10228 AL Primary

Addresses

Primary practice location

1300 McFarland Blvd NE Ste 150
Tuscaloosa, AL 35406-2283

Mailing address

3909 McGregor CT
Mobile, AL 36608-1833
Phone (251) 581-1831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000887 AL Practitioner - Physical Therapist in Private Practice 7810390648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Group Alabama, LLCGroup PAC ID 0840534053, 9 clinicians
Spine Group Fyzical LLCGroup PAC ID 7315462462, 3 clinicians

Practice addresses (Care Compare)

10 Old Montgomery Hwy
Suite 200
Birmingham, AL 35209-6797
Phone (205) 271-6511

835 Odum Rd
Suite 101
Gardendale, AL 35071-4111
Phone (205) 285-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Group Alabama, LLC CurrentSince Jun 15, 2021 Accepting new patients
Spine Group Fyzical LLC Physical Therapist CurrentSince Mar 15, 2025 Accepting new patients
Gardendale Health Mart Pharmacy LLC PastSince Mar 15, 2025 Accepting new patients

Locations

835 Odum Rd
Ste 101
Gardendale, AL 35071
Phone (205) 285-8585

10 Old Montgomery Hwy
Ste 200
Homewood, AL 35209
Phone (205) 271-6504

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1669051884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MCGREGOR CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081833",
            "telephone_number": "251-581-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MCFARLAND BLVD NE STE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062283",
            "telephone_number": "205-758-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COOPER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.