Physical Therapy of Andalusia

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTH551 Issued in AL

Legal business name

PHYSICAL THERAPY OF ANDALUSIA

Practice address

1105 W Bypass
Andalusia, AL 36420-5255

Phone

(334) 222-5785

Fax

(334) 222-0181

NPI assigned

Feb 27, 2008

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas G Rider, P.T.NPI 1518044171

Title

Owner/Physical Therapist

Phone

(334) 222-5785

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas G Rider, PT

  • Physical Therapist
  • Andalusia, AL
  • NPI 1518044171
  Medicare reassignment Care Compare group NPD Authorized official
• Meredith Harlos, DPT

  • Physical Therapist
  • Andalusia, AL
  • NPI 1144762204
  Medicare reassignment Care Compare group
• Niva Nokes Harrison, PT

  • Physical Therapist
  • Andalusia, AL
  • NPI 1831408905
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1801065537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205255",
            "telephone_number": "334-222-5785",
            "fax_number": "334-222-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205255",
            "telephone_number": "334-222-5785",
            "fax_number": "334-222-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF ANDALUSIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "334-222-5785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Patterson, LMSW
• Kendal Payne, APRN
• Shalee Payton-Coons
• Candace Penn, LPC
• Christina Noel Perry
• Pinnacle Health
• Lee J. Poston, D.P.M.
• Harold Ethan Powell
• Premise Health of Alabama Medical PC (Shaw Family Health Center Andalusia)
• Gregory D Price Sr., MD

• Physical Therapy Clinic/Center in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.