NPIMap

Organization Active NPI

Therapy South Pelham, LLC

  • Physical Therapist
  • Pelham, AL
National Provider Identifier
1730286964
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPY SOUTH PELHAM, LLC
Practice address
3569 Pelham Pkwy Ste 7
Pelham, AL 35124
Phone
(205) 664-8404
Fax
(205) 664-8559
NPI assigned
Sep 20, 2006
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Nathan Click, PTNPI 1891807525
Title
Vice President of Practice
Phone
(205) 664-8404

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

3569 Pelham Pkwy Ste 7
Pelham, AL 35124

Mailing address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070113000128 AL Part B Supplier - Clinic/Group Practice 3173523222 Receives reassigned benefits from 23 practitioners
Practice locations: Pelham, AL

National Provider Directory

National Provider Directory

Locations

3569 Pelham Pkwy
Ste 7
Pelham, AL 35124
Phone (205) 664-8404

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1730286964",
    "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": "3569 PELHAM PKWY STE 7",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-664-8404",
            "fax_number": "205-664-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOUTH PELHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "CLICK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PRACTICE",
        "authorized_official_telephone_number": "205-664-8404",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.