Olivia Deese

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH7667 Issued in AL

Practice address

4774 Eastern Valley Rd
Suite 109
MC Calla, AL 35111-3564

Phone

(205) 745-3651

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of South Alabama College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livwell Physical Therapy and Wellness LLCGroup PAC ID 0749757680, 2 clinicians

Therapy South-Bessemer, LLCGroup PAC ID 8729175781, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Livwell Physical Therapy & Wellness LLC

  • Physical Medicine & Rehabilitation Physician
  • McCalla, AL
  • NPI 1902787443
  Medicare reassignment Care Compare group NPD Authorized official
• Therapy South-Bessemer, LLC

  • Physical Therapist
  • McCalla, AL
  • NPI 1801081468
  Medicare reassignment Care Compare group NPD
• Therapy South Tuscaloosa LLC

  • Physical Therapist
  • Tuscaloosa, AL
  • NPI 1447734900
  Medicare reassignment NPD
• Therapy South Athens LLC

  • Physical Therapist
  • Athens, GA
  • NPI 1740696764
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1689040073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 GREYSTN COM BLVD",
            "address_2": "SUITE 34",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429600",
            "telephone_number": "205-745-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 EASTERN VALLEY RD",
            "address_2": "SUITE 109",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113564",
            "telephone_number": "205-745-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEESE",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in McCalla, AL
• Providers in McCalla, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.