Active NPI
Colton Shirley
- Physical Therapist
- Rainbow City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH12559
- Practice address
- 3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804 - Phone
- (256) 543-0717
- NPI assigned
- Aug 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH12559 | AL | Primary |
Addresses
Primary practice location
3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804
Mailing address
3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804
Phone (256) 543-0717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3102 Rainbow Dr
Suite 200
Rainbow City, AL 35906-5804
Phone (256) 543-0717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH12559 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevail Rehab and Performance, PLLC | Physical Therapist | Current | Accepting new patients |
| Sparks Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
3102 Rainbow Dr
Ste 200
Rainbow City, AL 35906
Phone (256) 543-0717
199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108
204 Ward Cir
Ste 300
Brentwood, TN 37027
Phone (615) 377-9533
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Rainbow City, AL
- NPI 1285273748
Physical Therapist
-
- Rehabilitation Chiropractor
- Brentwood, TN
- NPI 1558951913
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1811873375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 RAINBOW DR STE 200",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359065804",
"telephone_number": "256-543-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 RAINBOW DR STE 200",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359065804",
"telephone_number": "256-543-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "COLTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-12",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH12559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rainbow City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.