Individual provider Active NPI

Jeremiah Irby

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1740004209
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12086 Issued in AL
Practice address
33 Hughes Rd
Madison, AL 35758-2238
Phone
(256) 319-9327
Fax
(256) 319-9328
NPI assigned
Nov 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 12086 AL Primary

Addresses

Primary practice location

33 Hughes Rd
Madison, AL 35758-2238

Mailing address

42465 Highway 195
Haleyville, AL 35565-7052
Phone (256) 350-1764

Other practice location 1

5850 Hwy. 53 Unite 12
Harvest, AL 35749-6603
Phone (256) 319-9327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106001525 AL Practitioner - Physical Therapist in Private Practice 9537697420 Reassigns benefits to 2 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
Sportsmed Orthopaedic Specialists 87 clinicians

Practice addresses (Care Compare)

33 Hughes Rd
Madison, AL 35758-2238
Phone (256) 464-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12086ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Sep 30, 2024 Accepting new patients
Everyday People Inc CurrentSince May 1, 2025 Accepting new patients
North Alabama Rehabilitation and Pain Specialist LLC CurrentSince May 1, 2025 Accepting new patients
Irby Fitness LLC Current Accepting new patients
Sportsmed Orthopaedic Specialists CurrentSince Sep 30, 2024 Accepting new patients

Locations

2009 Westmead St SW
Decatur, AL 35601
Phone (256) 335-2778

5850 Highway 53
Unit 12
Harvest, AL 35749
Phone 25631985109618

5850 Highway 53
#12
Harvest, AL 35749
Phone (256) 319-9327

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

56 Hughes Rd
Unit 1792
Madison, AL 35758

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1740004209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42465 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657052",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582238",
            "telephone_number": "256-319-9327",
            "fax_number": "256-319-9328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Hwy. 53 Unite 12",
            "address_purpose": "LOCATION",
            "city": "Harvest",
            "state": "AL",
            "postal_code": "357496603",
            "country_code": "US",
            "telephone_number": "256-319-9327",
            "fax_number": "256-319-9328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "JEREMIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "12086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.