Active NPI
Jeremiah Irby
- Physical Therapist
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12086
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12086 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed Orthopaedic Specialists, PC | Current | Accepting new patients | |
| Everyday People Inc | Current | Accepting new patients | |
| North Alabama Rehabilitation and Pain Specialist LLC | Current | Accepting new patients | |
| Irby Fitness LLC | Current | Accepting new patients | |
| Sportsmed Orthopaedic Specialists | Current | 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.
-
- Physical Therapy Clinic/Center
- Huntsville, AL
- NPI 1083545644
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Decatur, AL
- NPI 1477839769
-
- Orthopaedic Surgery Physician
- Athens, AL
- NPI 1790826816
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.