Organization Active NPI

Therasport, Inc.

  • Physical Therapist
  • Rainsville, AL
National Provider Identifier
1760662233
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERASPORT, INC.
Practice address
598 Main St E
Rainsville, AL 35986-4541
Phone
(256) 638-1150
Fax
(256) 638-1158
NPI assigned
Nov 13, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Mrs. Mindi Meadows, PT, DPT, MS, ATCNPI 1487709226
Title
Ceo
Phone
(256) 638-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTH3371 AL
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

598 Main St E
Rainsville, AL 35986-4541

Mailing address

PO Box 1966
Rainsville, AL 35986-1966
Phone (256) 638-1150

Other practice location 1

911 Grand Ave SW
Fort Payne, AL 35967
Phone (256) 979-1150

Other identifiers 1

IdentifierTypeStateIssuer
51514927OtherALBLUE CROSS BLUS SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000372 AL Part B Supplier - Clinic/Group Practice 3577554914 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Payne, AL; Rainsville, AL

National Provider Directory

National Provider Directory

Locations

598 Main St E
Rainsville, AL 35986
Phone (256) 638-1150

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1760662233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1966",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359861966",
            "telephone_number": "256-638-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 MAIN ST E",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864541",
            "telephone_number": "256-638-1150",
            "fax_number": "256-638-1158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Grand Ave SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "35967",
            "country_code": "US",
            "telephone_number": "256-979-1150",
            "fax_number": "256-979-1157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERASPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-638-1150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT, MS, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH3371",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUS SHIELD",
            "identifier": "51514927",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.