NPIMap

Organization Active NPI

Performance Group Albertville

  • Physical Therapist
  • Albertville, AL
National Provider Identifier
1669481222
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORMANCE GROUP ALBERTVILLE
Practice address
4198 U.S. Hwy. 431
Ste D
Albertville, AL 35951-0238
Phone
(256) 894-3870
Fax
(256) 894-3872
NPI assigned
Aug 5, 2006
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Daniel Andrew Davis
Title
Billing Coordinator
Phone
(256) 744-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4198 U.S. Hwy. 431
Ste D
Albertville, AL 35951-0238

Mailing address

P.O. Box 14149
Baton Rouge, LA 70898-4149
Phone (225) 924-9827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1669481222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14149",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708984149",
            "telephone_number": "225-924-9827",
            "fax_number": "225-924-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 U.S. HWY. 431",
            "address_2": "STE D",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359510238",
            "telephone_number": "256-894-3870",
            "fax_number": "256-894-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE GROUP ALBERTVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "256-744-3350"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.