Individual provider Active NPI

Elias Matthew Shunnarah, PT

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1730996323
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12102 Issued in AL
Practice address
5541 Grove Blvd Ste C2
Hoover, AL 35226-4600
Phone
(205) 277-6870
NPI assigned
Dec 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 PTH12102 AL Primary

Addresses

Primary practice location

5541 Grove Blvd Ste C2
Hoover, AL 35226-4600

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213000283 AL Practitioner - Physical Therapist in Private Practice 3173053642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Alabama, LLCGroup PAC ID 5698930444, 73 clinicians

Practice addresses (Care Compare)

153 Narrows Pkwy
Suite 101
Birmingham, AL 35242-8601
Phone (205) 981-4534

1910 28TH Ave S
Suite 104
Homewood, AL 35209-2604
Phone (205) 202-2273

356 Hollywood Blvd
Homewood, AL 35209-2019
Phone (205) 855-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12102ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Dec 9, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

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

5541 Grove Blvd
#C2
Hoover, AL 35226
Phone (205) 277-6870

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

5541 Grove Blvd
Ste C2
Hoover, AL 35226
Phone (205) 277-6870

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

Organizations & group practices 5

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": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1730996323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 GROVE BLVD STE C2",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264600",
            "telephone_number": "205-277-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNNARAH",
        "first_name": "ELIAS",
        "middle_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.