Mary Ponder

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8693 Issued in AL

Practice address

4825 Montgomery Hwy
Dothan, AL 36303-1690

Phone

(334) 500-1139

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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.

• Ati Holdings of Alabama, LLC

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment NPD
• Uab STV Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1710054432
  Medicare reassignment NPD
• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  AL

  Medicare reassignment NPD
• St. Vincent'S Orthopedics, PC

  • Durable Medical Equipment & Medical Supplies
  • Vestavia Hills, AL
  • NPI 1801670278
  NPD
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  NPD

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1720560295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 WHITE POPLAR CIR",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 MONTGOMERY HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031690",
            "telephone_number": "334-500-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177790",
            "country_code": "US",
            "telephone_number": "334-245-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDER",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8693",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Plagenhoef, MD
• Play Learn Live Therapy Inc
• Plaza Pharmacy
• Polk'S Crossgate Discount Drugs Inc.
• Abbigail Haley Pollard, RBT
• Rachel King Pope
• Cassidy Clemmons Popwell
• Basheba Lawonda Porter, CRNP
• Isabella Porter
• Michael Porterfield, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.