Active NPI
Kelly A Epting, PT
- Physical Therapist
- Demopolis, AL
National Provider Identifier
1730358086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3616
- Practice address
- 101 US Highway 80 W
Demopolis, AL 36732-4101 - Phone
- (334) 289-5696
- Fax
- (334) 289-5578
- NPI assigned
- Feb 20, 2008
- Last updated
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3616 | AL | Primary |
Addresses
Primary practice location
101 US Highway 80 W
Demopolis, AL 36732-4101
Mailing address
101 US Highway 80 W
Demopolis, AL 36732-4101
Phone (334) 289-5696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3616 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fyzical Meridian | Physical Therapist | Past | Accepting new patients |
| Genesis Rehabilitation, Inc. Dba Fyzical Therapy and Balance Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Demopolis, AL
- NPI 1861523706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1730358086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 US HIGHWAY 80 W",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367324101",
"telephone_number": "334-289-5696",
"fax_number": "334-289-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 US HIGHWAY 80 W",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367324101",
"telephone_number": "334-289-5696",
"fax_number": "334-289-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPTING",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Demopolis, AL
- James Daniel Dreading, D.M.D.
- DRS. Ketcham and Dismukes
- Dva Healthcare Renal Care Inc (Demopolis Dialysis)
- Dana Eddins, MS, CCC-SLP
- Sharon Edmondson, PHARMD
- Fernando Alegria, MD, LLC
- Fitz-Gerald & Perret Clinic
- Jawanza Foster
- Frances Adair Fuller, PT, DPT
- Genesis Rehabilitation, Inc. Dba Fyzical Therapy and Balance Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.