Prohealth Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROHEALTH PHYSICAL THERAPY

Practice address

1102 Dekalb Plaza Blvd SW
Fort Payne, AL 35967-4868

Phone

(256) 997-9991

Fax

(256) 997-9950

NPI assigned

Jul 26, 2007

Last updated

Oct 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Wisner

Title

Coo

Phone

(256) 997-9991

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerre S Dendy, RPT

  • Physical Therapist
  • Gadsden, AL
  • NPI 1497781025
  NPD (past)
• Kelly S Knowles, RPT

  • Physical Therapist
  • Snead, AL
  • NPI 1851326540
  NPD (past)
• Clint T Lockridge, RPT

  • Physical Therapist
  • Gadsden, AL
  • NPI 1366473753
  NPD (past)
• William Chad Prince, MSPT

  • Physical Therapist
  • Anniston, AL
  • NPI 1275562654
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1710177829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 DEKALB PLAZA BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359674868",
            "telephone_number": "256-997-9991",
            "fax_number": "256-997-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 DEKALB PLAZA BLVD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359674868",
            "telephone_number": "256-997-9991",
            "fax_number": "256-997-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "WISNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "256-997-9991"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Phillips, PT
• Lisa Diane Pierce, BS PHARM
• Tomas Quiambao Pineda,Jr., M.D.
• Emily Shirey Poff, LPC
• Premier Therapy, LLC
• Prohealth Physical Therapy, LLC
• Provision Health Services, LLC
• Debra Eaine Puckett, OTL
• Anna Lee Putman
• Caleb John Rackard, ALC

• Physical Therapist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.