Jacob Gates

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8084 Issued in AL

Practice address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660

Phone

(205) 745-3660

Fax

(205) 745-3649

NPI assigned

Aug 9, 2016

Sex

Male

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy South Jasper LLCGroup PAC ID 1355685819, 5 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 and National Provider Directory roles.

• Therapy South Jasper LLC

  • Physical Therapist
  • Jasper, AL
  • NPI 1861961666
  Medicare reassignment Care Compare group NPD
• Therapy South Cullman LLC

  • Physical Therapist
  • Cullman, AL
  • NPI 1457804775
  Medicare reassignment NPD
• Therapy South Greystone, LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1144325994
  Medicare reassignment NPD
• Therapy South LLC - Fultondale

  • Physical Therapist
  • Fultondale, AL
  • NPI 1972787687
  Medicare reassignment NPD
• Therapy South LLC Fultondale

  • Physical Therapist
  • Fultondale, AL
  • NPI 1346424769
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1710431663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Associates of North-Central Alabama Inc
• Gastroenterology Associates West PC
• Gastroenterology Assocso
• Gastroenterology for Children P.C.
• Gastroenterology Specialists of Birmingham,P.C.
• Noelle Duval Gates, MD
• Gateway
• Gateway
• Gateway
• Gateway

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, 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 9, 2016; 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.