Active NPI
Caroline Hermann, PT
- Physical Therapist
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2556 Dalton Pike SE
Cleveland, TN 37323-7157 - Phone
- (423) 476-4264
- NPI assigned
- Aug 3, 2020
- Last updated
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9814 | AL | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2556 Dalton Pike SE
Cleveland, TN 37323-7157
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8923
Other practice location 1
1622 Church Ave SE
Jacksonville, AL 36265-3200
Phone (256) 365-2792
Other names 1
- Caroline Wilder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9814 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Alabama LLC | Current | Accepting new patients |
Locations
1215 Chesnut Byp
#B
Centre, AL 35960
Phone (256) 266-1001
2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1622 Church Ave SE
Jacksonville, AL 36265
Phone (256) 365-2792
800 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 365-2792
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Northport, AL
- NPI 1417593625
-
- Physical Therapist
- Gardendale, AL
- NPI 1023440583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1679183875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2556 DALTON PIKE SE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373237157",
"telephone_number": "423-476-4264"
}
],
"practiceLocations": [
{
"address_1": "1622 Church Ave SE",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AL",
"postal_code": "362653200",
"country_code": "US",
"telephone_number": "256-365-2792",
"fax_number": "256-365-2793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMANN",
"first_name": "CAROLINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9814",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "WILDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.