Individual provider Active NPI

Oluwadara Faleye, DPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1780351239
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11856 Issued in AL
Practice address
720 32ND St S
Birmingham, AL 35233-3516
Phone
(205) 731-2177
NPI assigned
Aug 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 25667 MA
Physical Therapist 225100000X PTH11856 AL Primary

Addresses

Primary practice location

720 32ND St S
Birmingham, AL 35233-3516

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Phone (205) 745-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210921003115 MA Practitioner - Physical Therapist in Private Practice 0143627943 Reassigns benefits to 1 organization
I20250211001364 AL Practitioner - Physical Therapist in Private Practice 0143627943 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
Therapy South Lakeview LLCGroup PAC ID 7719125327, 5 clinicians

Practice addresses (Care Compare)

720 32ND St S
Birmingham, AL 35233-3516
Phone (205) 731-2177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11856ALMDPhysical Therapist
25667MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Lakeview LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 6, 2021 Accepting new patients

Locations

1400 19th St S
Birmingham, AL 35205
Phone (205) 731-2177

720 32nd St S
Birmingham, AL 35233
Phone (205) 731-2177

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

156 Andover St
Unit 2
Danvers, MA 01923
Phone (978) 767-8343

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1780351239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 32ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333516",
            "telephone_number": "205-731-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALEYE",
        "first_name": "OLUWADARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25667",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11856",
            "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 Oct 17, 2024; 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.