Organization Active NPI

Montgomery East Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Montgomery, AL
National Provider Identifier
1790824274
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MONTGOMERY EAST PHYSICAL THERAPY, PC
Practice address
499 Saint Lukes Dr
Montgomery, AL 36117-7105
Phone
(334) 244-5892
Fax
(334) 244-5890
NPI assigned
Feb 5, 2007
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Ms. Patricia Kay Sublett, PHYSICAL THERAPIST
Title
President
Phone
(334) 244-5892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

499 Saint Lukes Dr
Montgomery, AL 36117-7105

Mailing address

499 Saint Lukes Dr
Montgomery, AL 36117-7105
Phone (334) 244-5892

Other identifiers 1

IdentifierTypeStateIssuer
529700330MedicaidAL

National Provider Directory

National Provider Directory

Locations

499 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 244-5892

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1790824274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177105",
            "telephone_number": "334-244-5892",
            "fax_number": "334-244-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177105",
            "telephone_number": "334-244-5892",
            "fax_number": "334-244-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY EAST PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "SUBLETT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-244-5892",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529700330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.