Organization Active NPI

Astound Physical Therapy

  • Physical Therapy Clinic/Center
  • Atmore, AL
National Provider Identifier
1720569205
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTH6465 Issued in AL
Legal business name
ASTOUND PHYSICAL THERAPY
Doing business as
Astound Physical Therapy
Practice address
104 5TH Ave
Atmore, AL 36502-2617
Phone
(251) 321-0799
Fax
(251) 321-0798
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Lena HardyNPI 1134475924
Title
Physical Therapist
Phone
(251) 321-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTH6465 AL Primary

Addresses

Primary practice location

104 5TH Ave
Atmore, AL 36502-2617

Mailing address

104 5TH Ave
Atmore, AL 36502-2617
Phone (251) 321-0799

Other names 1

  • Astound Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128001739 AL Part B Supplier - Clinic/Group Practice 4587901657 Receives reassigned benefits from 1 practitioner
Practice locations: Atmore, AL

National Provider Directory

National Provider Directory

Locations

104 5th Ave
Atmore, AL 36502
Phone (214) 215-4627

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1720569205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 5TH AVE",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022617",
            "telephone_number": "251-321-0799",
            "fax_number": "251-321-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 5TH AVE",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022617",
            "telephone_number": "251-321-0799",
            "fax_number": "251-321-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTOUND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "251-321-0799"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH6465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astound Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.