Individual provider Active NPI

Carly Warren Chaffin, DPT

  • Physical Therapist
  • Winfield, AL
National Provider Identifier
1821465048
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7711 Issued in AL
Practice address
1860 US Highway 43
Winfield, AL 35594-5062
Phone
(205) 395-5003
Fax
(205) 395-5004
NPI assigned
Aug 24, 2015
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7711 AL Primary

Addresses

Primary practice location

1860 US Highway 43
Winfield, AL 35594-5062

Mailing address

8059 Mitchell LN
Vestavia Hills, AL 35216-6821
Phone (205) 999-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005001409 AL Practitioner - Physical Therapist in Private Practice 9234447608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1860 US Hwy 43
Winfield, AL 35594-5062
Phone (205) 651-7171

209 Fitness Way
Suite D
Athens, AL 35611-2452
Phone (256) 867-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Aug 22, 2015 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Aug 22, 2015 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

209 Fitness Way
Ste D
Athens, AL 35611
Phone (256) 233-9148

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

1646 Town Sq SW
Cullman, AL 35055
Phone (256) 887-4400

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2531 Rocky Ridge Rd
Ste 101
Vestavia, AL 35243
Phone (205) 453-9350

1860 US Highway 43
Winfield, AL 35594
Phone (205) 395-5003

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1821465048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352166821",
            "telephone_number": "205-999-4622",
            "fax_number": "205-999-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945062",
            "telephone_number": "205-395-5003",
            "fax_number": "205-395-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "CARLY",
        "middle_name": "WARREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.

Verify at the official NPI Registry.