Pediatric Physical Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PTH2831 Issued in AL

Legal business name

PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

3202 Old Shell Rd
Mobile, AL 36607-2505

Phone

(251) 450-0070

Fax

(251) 450-0072

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl Lambert Thames, PT

Title

Owner

Phone

(251) 450-0070

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Katherine Adams, PT

  • Physical Therapist
  • Mobile, AL
  • NPI 1174629430
  NPD (past)
• Jane Bagwell Hale, PT

  • Physical Therapist
  • Mobile, AL
  • NPI 1760576227
  NPD (past)
• Denise Bergeron Young, PT

  • Pediatric Physical Therapist
  • Mobile, AL
  • NPI 1528153038

  Pediatrics

  NPD (past)
• Aubrey Louise Bennett, PT

  • Pediatric Physical Therapist
  • Ridgeland, MS
  • NPI 1942789383

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1801994249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072505",
            "telephone_number": "251-450-0070",
            "fax_number": "251-450-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072505",
            "telephone_number": "251-450-0070",
            "fax_number": "251-450-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-450-0070",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AL",
            "license": "PTH2831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914200",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51553156",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajay Prabhakar Peddada
• Pediatric and Adult Therapy Services, L.L.C.
• Pediatric Associates of Mobile, PA
• Pediatric Dentistry of Mobile
• Pediatric Partners of Mobile, LLC
• Lloyd Graylen Peek Jr., OTR/L
• Keith J. Peevy, MD
• Sharon Felina Pelekanos, PA
• Lisa L Pelham, OT
• Michael A Pennington, M.D.

• All providers in Mobile, AL
• Pediatric Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.