Individual provider Active NPI

Dylan Paul, PT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1740940030
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10640 Issued in AL
Practice address
1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone
(205) 228-7600
NPI assigned
Dec 28, 2021
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030437 PA
Physical Therapist 225100000X PTH10640 AL Primary

Addresses

Primary practice location

1801 Gadsden Hwy
Birmingham, AL 35235-3134

Mailing address

9041 Eagle Valley LN
Birmingham, AL 35242-6994
Phone (732) 822-6934

Other practice location 1

118 Mars Hill Rd
Hoover, AL 35244-3904
Phone (205) 228-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209001838 AL Practitioner - Physical Therapist in Private Practice 6103219407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agile Physical Therapy, LLCGroup PAC ID 7012085137, 6 clinicians

Practice addresses (Care Compare)

3125 Blue Lake Dr
Vestavia, AL 35243-2333
Phone (205) 969-7887

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agile Physical Therapy, LLC CurrentSince Dec 15, 2025 Accepting new patients
Gardendale Health Mart Pharmacy LLC PastSince Mar 15, 2025 Accepting new patients
Orthopaedic Associates of Allentown Physical Therapist Past Accepting new patients

Locations

3125 Blue Lake Dr
Vestavia, AL 35243
Phone (205) 969-7887

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1740940030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 EAGLE VALLEY LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426994",
            "telephone_number": "732-822-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-228-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Mars Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443904",
            "country_code": "US",
            "telephone_number": "205-228-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030437",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.