Individual provider Active NPI

Michael Scott Kinne, PT

  • Physical Therapist
  • Clanton, AL
National Provider Identifier
1861438038
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4021 Issued in AL
Practice address
2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone
(205) 755-6110
Fax
(205) 755-6108
NPI assigned
Jun 22, 2006
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14501 AL
Physical Therapist 225100000X PTH4021 AL Primary

Addresses

Primary practice location

2030 Lay Dam Rd
Clanton, AL 35045-8344

Mailing address

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 755-6110

Other practice location 1

101 Carrington Ln Ste C
Calera, AL 35040-5439
Phone (205) 621-3077

Other identifiers 2

IdentifierTypeStateIssuer
51525714OtherALBLUE CROSS & BLUE SHIELD
51525713OtherALBLUE CROSS & BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000622 AL Practitioner - Physical Therapist in Private Practice 2365493210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby County Physical Therapy, P.C.Group PAC ID 8123494903, 3 clinicians
Chilton County Physical TherapyGroup PAC ID 3476703620, 4 clinicians

Practice addresses (Care Compare)

101 Carrington LN
Calera, AL 35040-5439
Phone (205) 746-7339

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (888) 315-2615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14501ALMDPhysical Therapist
PTH4021ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jun 14, 2017 Accepting new patients
Shelby County Physical Therapy , PC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Brookwood Primary Care-Mountain Brook, L.L.C. Current Accepting new patients
Shoals Orthopedics, PC Physical Therapist CurrentSince Apr 1, 2011 Accepting new patients
Shelby County Physical Therapy P.C. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Chilton County Physical Therapy Physical Therapist CurrentSince Oct 15, 2012 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Orthopaedic Specialists of Alabama, PC Past Accepting new patients
Anniston Orthopedics Associates PA Past Accepting new patients
Orthopaedic Specialists of Alabama PC Past Accepting new patients

Locations

101 Carrington Ln
Calera, AL 35040
Phone (205) 621-3077

101 Carrington Ln
#C
Calera, AL 35040
Phone (205) 621-3077

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

405 Ollie Ave
Clanton, AL 35045

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

426 W College St
Florence, AL 35630
Phone (256) 718-4041

4730 Chace Cir
Ste 124
Hoover, AL 35244

4500 Montevallo Rd
Ste E101
Irondale, AL 35210
Phone (205) 877-1889

790 Remington Blvd
Bolingbrook, IL 60440

Organizations & group practices 10

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1861438038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-755-6110",
            "fax_number": "205-755-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-755-6110",
            "fax_number": "205-755-6108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Carrington Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Calera",
            "state": "AL",
            "postal_code": "350405439",
            "country_code": "US",
            "telephone_number": "205-621-3077",
            "fax_number": "205-621-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNE",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "14501",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51525714",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51525713",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.