Active NPI
Coral Gubler
- Sports Physical Therapist
- Mobile, AL
National Provider Identifier
1679976674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PTH5225
- Practice address
- 5721 USA Dr N
Hahn 2050
Mobile, AL 36688-0002 - Phone
- (251) 445-9378
- Fax
- (251) 445-9377
- NPI assigned
- Oct 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PTH5225 | AL | Primary |
Addresses
Primary practice location
5721 USA Dr N
Hahn 2050
Mobile, AL 36688-0002
Mailing address
PO Box 40277
Mobile, AL 36640-0277
Phone (251) 445-9378
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 |
|---|---|---|---|
| PTH5225 | AL | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Missoula, MT
- NPI 1871581058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1679976674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40277",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400277",
"telephone_number": "251-445-9378",
"fax_number": "251-445-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 USA DR N",
"address_2": "HAHN 2050",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880002",
"telephone_number": "251-445-9378",
"fax_number": "251-445-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBLER",
"first_name": "CORAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AL",
"license": "PTH5225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.