Organization Active NPI

Bledsoe Tate of Princeton, LLC

  • Physical Therapy Clinic/Center
  • Birmingham, AL
National Provider Identifier
1760419717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BLEDSOE TATE OF PRINCETON, LLC
Practice address
924 Fulton Avenue
Birmingham, AL 35211
Phone
(205) 780-6333
Fax
(205) 780-6008
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra Richards
Title
Provider Relations Coordinator
Phone
(334) 396-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

924 Fulton Avenue
Birmingham, AL 35211

Mailing address

7088 University CT
Montgomery, AL 36117-6992
Phone (334) 396-1400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760419717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 UNIVERSITY CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176992",
            "telephone_number": "334-396-1400",
            "fax_number": "334-396-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FULTON AVENUE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-780-6333",
            "fax_number": "205-780-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEDSOE TATE OF PRINCETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS COORDINATOR",
        "authorized_official_telephone_number": "334-396-1400"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.