Individual provider Active NPI

Theodore Scott Powers, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Cullman, AL
National Provider Identifier
1851320501
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
21862 Issued in AL
Practice address
1942 Al Hwy 157
Cullman, AL 35058
Phone
(256) 736-8998
Fax
(256) 736-8588
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 21862 AL Primary

Addresses

Primary practice location

1942 Al Hwy 157
Cullman, AL 35058

Mailing address

PO Box 870
Cullman, AL 35056-0870
Phone (256) 736-8998

Other identifiers 3

IdentifierTypeStateIssuer
051500645MedicaidAL
000948666MedicaidAL
P00389542OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000505 AL Practitioner - Family Practice 9436102878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1942 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 736-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21862ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Physical Medicine, P.C. Physical Medicine & Rehabilitation CurrentSince Feb 1, 2008 Accepting new patients

Locations

1701 Main Ave SW
Ste D
Cullman, AL 35055
Phone (256) 736-8998

1942 AL Highway 157
Cullman, AL 35058
Phone (256) 736-8998

Interoperability endpoints

  • Direct secure messaging: theodore.powers@cpm.direct.systemedx.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1851320501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350560870",
            "telephone_number": "256-736-8998",
            "fax_number": "256-736-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 AL HWY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35058",
            "telephone_number": "256-736-8998",
            "fax_number": "256-736-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "THEODORE",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "21862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051500645",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000948666",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00389542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.