NPIMap

Organization Active NPI

Phenix City Joint & Rehab, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Phenix City, AL
National Provider Identifier
1760915748
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
DO929 Issued in AL
Legal business name
PHENIX CITY JOINT & REHAB, LLC
Practice address
3700 S Railroad St Ste C
Phenix City, AL 36867-2994
Phone
(334) 468-5770
Fax
(866) 537-1711
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Authorized official

Name
Dr. Stephen B Cooper, DCNPI 1699719732
Title
Manager
Phone
(334) 298-7700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X DO929 AL Primary

Addresses

Primary practice location

3700 S Railroad St Ste C
Phenix City, AL 36867-2994

Mailing address

PO Box 1601
Phenix City, AL 36868-1601
Phone (334) 468-5770

Other practice location 1

541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110
Phone (404) 461-9011

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": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563580800000",
    "number": "1760915748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1601",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681601",
            "telephone_number": "334-468-5770",
            "fax_number": "866-537-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST STE C",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672994",
            "telephone_number": "334-468-5770",
            "fax_number": "866-537-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Forest Pkwy Ste 14",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302976110",
            "country_code": "US",
            "telephone_number": "404-461-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHENIX CITY JOINT & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2019-07-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-298-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AL",
            "license": "DO929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.