Individual provider Active NPI

Susan L Herrin, M.P.T

  • Physical Therapist
  • Northport, AL
National Provider Identifier
1720021348
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3049 Issued in AL
Practice address
92 McFarland Blvd
Northport, AL 35476
Phone
(205) 344-9161
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3049 AL Primary

Addresses

Primary practice location

92 McFarland Blvd
Northport, AL 35476

Mailing address

251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764

Other practice location 1

401 5th Ave E
Tuscaloosa, AL 35487-0001
Phone (205) 348-3904

Other practice location 2

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958
Phone (205) 759-7979

Other practice location 3

401 5th Ave E
Tuscaloosa, AL 35487-0001
Phone (205) 348-3904

Other practice location 4

6561 Highway 69 S Ste A
Tuscaloosa, AL 35405-6488
Phone (205) 722-1038

Other practice location 5

1781B Commons North Loop
Tuscaloosa, AL 35406-3577
Phone (205) 348-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000047 AL Practitioner - Physical Therapist in Private Practice 1052328861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy-Alabama, LLCGroup PAC ID 5395970560, 70 clinicians

Practice addresses (Care Compare)

1781 B Commons N Loop
Tuscaloosa, AL 35406-3577
Phone (205) 752-0845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3049ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
DCH Encore Rehabilitation, LLC Physical Therapist CurrentSince Mar 18, 2019 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Apr 15, 2024 Accepting new patients
Drayer Physical Therapy Alabama LLC Physical Therapist PastSince Nov 12, 2015 Accepting new patients
The Radiology Clinic LLC Past Accepting new patients
Rehab Associates, LLC Physical Therapist Past Accepting new patients
Rehab Associates, LLC Past Accepting new patients
University Orthopaedic Clinic, PC Physical Therapist PastSince Jul 5, 1994 Accepting new patients

Locations

251 Johnston St SE
Ste 200
Decatur, AL 35601

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

92 McFarland Blvd
Northport, AL 35476
Phone (205) 344-9161

6561 Highway 69 S
#A
Tuscaloosa, AL 35405
Phone (205) 722-1036

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 750-5394

1781B Commons North Loop
Tuscaloosa, AL 35406
Phone (205) 348-3904

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1720021348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764",
            "fax_number": "256-355-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-344-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 5th Ave E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354870001",
            "country_code": "US",
            "telephone_number": "205-348-3904",
            "fax_number": "205-348-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Ruby Tyler Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354042958",
            "country_code": "US",
            "telephone_number": "205-759-7979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 5th Ave E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354870001",
            "country_code": "US",
            "telephone_number": "205-348-3904",
            "fax_number": "205-348-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6561 Highway 69 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354056488",
            "country_code": "US",
            "telephone_number": "205-722-1038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1781B Commons North Loop",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354063577",
            "country_code": "US",
            "telephone_number": "205-348-3904",
            "fax_number": "205-803-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.