Individual provider Active NPI

John McCann

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1679357628
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9256 Parkway E Ste a
Birmingham, AL 35206-1529
Phone
(205) 855-2003
Fax
(205) 709-1063
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 2305215949 VA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9256 Parkway E Ste a
Birmingham, AL 35206-1529

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231227000635 TN Practitioner - Physical Therapist in Private Practice 7618327057 Reassigns benefits to 1 organization
I20250225000487 AL Practitioner - Physical Therapist in Private Practice 7618327057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

124 W Grand Ave
Suite a 4
Rainbow City, AL 35906-3203
Phone (256) 295-9048

1877 Cherokee Ave SW
Culman, AL 35055-5547
Phone (256) 727-1701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215949VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C Black Physical Therapist CurrentSince Oct 28, 2023 Accepting new patients
Tristar Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

9256 Parkway E
Ste A
Birmingham, AL 35206
Phone (205) 855-2003

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

106 6th St S
Ste A
Oneonta, AL 35121
Phone (205) 460-3817

124 W Grand Ave
Ste A4
Rainbow City, AL 35906
Phone (256) 295-9048

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1679357628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 PARKWAY E STE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061529",
            "telephone_number": "205-855-2003",
            "fax_number": "205-709-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215949",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.