Dadeville Sports Medicine & Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTH1013 Issued in AL

Legal business name

DADEVILLE SPORTS MEDICINE & PHYSICAL THERAPY

Practice address

1120 Airport Dr
Suite 103
Alexander City, AL 35010-3436

Phone

(256) 329-8180

Fax

(256) 329-8116

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Symonds

Title

Office Manager

Phone

(256) 329-8180

Specialties & licenses 1

Addresses

Other names 1

• Lake Martin Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Franklin Staples, PT

  • Physical Therapist
  • Alexander City, AL
  • NPI 1669479754
  Medicare reassignment NPD
• Jared Merrill Blair, DPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1689969701
  NPD (past)
• Justin B Crain, RPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1790721363
  NPD (past)
• Harlan Scott Owenby, DPT

  • Physical Therapist
  • Tallassee, AL
  • NPI 1407220569
  NPD (past)
• Randall Alan Ransom Jr., DPT

  • Physical Therapist
  • Auburn, AL
  • NPI 1306124151
  NPD (past)
• Ryan Nathaniel Haskins, DPT

  • Physical Therapist
  • Englewood, CO
  • NPI 1376067454
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1699895490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR",
            "address_2": "SUITE 103",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103436",
            "telephone_number": "256-329-8180",
            "fax_number": "256-329-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AIRPORT DR",
            "address_2": "SUITE 103",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103436",
            "telephone_number": "256-329-8180",
            "fax_number": "256-329-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADEVILLE SPORTS MEDICINE & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SYMONDS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-329-8180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Martin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine R Cooper, M.D.
• Timothy John Corbin, M.D.
• Gabrielle Elise Coughlin
• Maria Luisa Coxey, CRNP
• Wendy Jeanette Cummings, O.D.
• Casey Dalton
• Jessica Daniel, FNP-C
• Ashton Darnell
• Sarah Morgan Daugherty, M.ED., CCC-SLP
• Tiffany Davis, CRNP

• Physical Therapy Clinic/Center in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.