Ultimate Edge Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTH 6023 Issued in AL

Legal business name

ULTIMATE EDGE SPORTS MEDICINE

Practice address

1581 Montgomery Hwy Ste 115
Hoover, AL 35216-4536

Phone

(205) 874-6765

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Becker, PTNPI 1194845529

Title

Owner

Phone

(419) 392-4394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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

• Kimberly Becker, PT, ATC

  • Physical Therapist
  • Hoover, AL
  • NPI 1194845529
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Kirby

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vestavia Hills, AL
  • NPI 1124759253
  Medicare reassignment Care Compare group NPD
• Nicholas Alexander Moyer, DPT

  • Physical Therapist
  • Hoover, AL
  • NPI 1790533214
  Medicare reassignment Care Compare group NPD
• John Russell Brazelton, DPT

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1710780747
  Medicare reassignment NPD
• Morgan Hines, PT, DPT

  • Orthopedic Physical Therapist
  • Vestavia Hills, AL
  • NPI 1881547255
  NPD

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1821442146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 MONTGOMERY HWY STE 115",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164536",
            "telephone_number": "205-874-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 MONTGOMERY HWY STE 115",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164536",
            "telephone_number": "205-874-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE EDGE SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-392-4394",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH 6023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Turner, MD
• Regina Turner, LPC, NCC
• TVPG LLC
• Tymes' Therapeutic Solution, LLC
• Uab Family and Community Medicine
• Catesby Penn Ulversoy, PA
• James Edwin Underwood Jr., PHARMD
• Sydney Bireley Underwood, ALC
• Zharia Univers
• Upperline Healthcare, PC

• Physical Therapy Clinic/Center in Hoover, AL
• Providers in Hoover, 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 Dec 2, 2016; 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.