Individual provider Active NPI

Michael Jacob Dunwoody, DPT

  • Physical Therapist
  • Eufaula, AL
National Provider Identifier
1790412930
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
55698 Issued in AL
Practice address
335 Macon St Ste a
Eufaula, AL 36027-1898
Phone
(334) 224-1537
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 55698 AL Primary

Addresses

Primary practice location

335 Macon St Ste a
Eufaula, AL 36027-1898

Mailing address

8650 Minnie Brown Rd Ste 234
Montgomery, AL 36117-7433
Phone (334) 224-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55698ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eufaula Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients

Locations

335 Macon St
#A
Eufaula, AL 36027
Phone (334) 224-1537

8650 Minnie Brown Rd
Ste 225
Montgomery, AL 36117

8650 Minnie Brown Rd
Ste 234
Montgomery, AL 36117
Phone (334) 318-9023

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1790412930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 MINNIE BROWN RD STE 234",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177433",
            "telephone_number": "334-224-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MACON ST STE A",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271898",
            "telephone_number": "334-224-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNWOODY",
        "first_name": "MICHAEL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "55698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.