Imc of Alabama

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH6713 Issued in AL

Legal business name

IMC OF ALABAMA

Practice address

3792 Mance Newton Rd
Midland City, AL 36350-6213

Phone

(850) 656-1837

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Tara N. Atkinson

Title

Insurance and Billing Coordinator

Phone

(850) 656-1837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1811337447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CENTENNIAL BLVD",
            "address_2": "SUITE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080586",
            "telephone_number": "850-656-1837",
            "fax_number": "850-877-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3792 MANCE NEWTON RD",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506213",
            "telephone_number": "850-656-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "INSURANCE AND BILLING COORDINATOR",
        "authorized_official_telephone_number": "850-656-1837"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Midland City, AL
• Providers in Midland City, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.