Active NPI
Roy Bolton Patton V, DPT
- Physical Therapist
- Birmingham, AL
National Provider Identifier
1750957288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10210
- Practice address
- 608 13TH St
Birmingham, AL 35228-2430 - Phone
- (205) 934-6013
- NPI assigned
- Jun 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTO19124 | OH | |
| Physical Therapist | 225100000X | PTH10210 | AL | Primary |
Addresses
Primary practice location
608 13TH St
Birmingham, AL 35228-2430
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice location 1
2751 O'Varsity Way Room 265
Cincinnati, OH 45221-0001
Phone (513) 556-3178
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 |
|---|---|---|---|
| PTO19124 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1750957288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 13TH ST",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352282430",
"telephone_number": "205-934-6013"
}
],
"practiceLocations": [
{
"address_1": "2751 O'Varsity Way Room 265",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452210001",
"country_code": "US",
"telephone_number": "513-556-3178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTON",
"first_name": "ROY",
"middle_name": "BOLTON",
"name_prefix": "Dr.",
"name_suffix": "V",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PTO19124",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10210",
"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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.