Individual provider Active NPI

Caroline Hermann, PT

  • Physical Therapist
  • Cleveland, TN
National Provider Identifier
1679183875
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2556 Dalton Pike SE
Cleveland, TN 37323-7157
Phone
(423) 476-4264
NPI assigned
Aug 3, 2020
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PTH9814ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Jan 2, 2023 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Jan 2, 2023 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.

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.

Verify at the official NPI Registry.