NPIMap

Organization Active NPI

Functional Athletic Rehabilitation & Movement

  • Sports Physician Chiropractor
  • Birmingham, AL
National Provider Identifier
1790106201
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2415 Issued in AL
Legal business name
FUNCTIONAL ATHLETIC REHABILITATION & MOVEMENT
Practice address
203 Narrows Parkway
Suite a
Birmingham, AL 35242
Phone
(205) 419-1595
Fax
(205) 724-9130
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Beau Ryan Beard, DC, MS, CCSPNPI 1154753739
Title
Owner
Phone
(205) 419-1595

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 2415 AL
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 2415 AL Primary

Addresses

Primary practice location

203 Narrows Parkway
Suite a
Birmingham, AL 35242

Mailing address

203 Narrows Parkway
Suite a
Birmingham, AL 35242
Phone (205) 419-1595

Other names 1

  • The FARM Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140205001340 AL Part B Supplier - Clinic/Group Practice 6901035302 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

215 Narrows Pkwy
Ste A
Birmingham, AL 35242
Phone (205) 419-1595

13521 Old Highway 280
Ste 125
Birmingham, AL 35242
Phone (205) 470-3971

203 Narrows Pkwy
Ste A
Birmingham, AL 35242
Phone (205) 419-1595

Practitioners & affiliated clinicians

Practitioners 7

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": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1790106201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NARROWS PARKWAY",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-419-1595",
            "fax_number": "205-724-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NARROWS PARKWAY",
            "address_2": "SUITE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-419-1595",
            "fax_number": "205-724-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL ATHLETIC REHABILITATION & MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "BEAU",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-419-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AL",
            "license": "2415",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "2415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The FARM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The FARM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 31, 2023; 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.