Organization Active NPI

Physical Medicine & Rehabilitation Associates of East Alabama

  • Physical Medicine & Rehabilitation Physician
  • Valley, AL
National Provider Identifier
1861972002
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35113 Issued in AL
Legal business name
PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF EAST ALABAMA
Practice address
267 Fob James Dr
Valley, AL 36854-5077
Phone
(718) 216-8283
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Frederick Mansur Aziz, MD
Title
President
Phone
(718) 216-8283

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 35113 AL Primary
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0301X 35113 AL

Addresses

Primary practice location

267 Fob James Dr
Valley, AL 36854-5077

Mailing address

716 Banbury St
Auburn, AL 36832-3677
Phone (718) 216-8283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1861972002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 BANBURY ST",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368323677",
            "telephone_number": "718-216-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 FOB JAMES DR",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368545077",
            "telephone_number": "718-216-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF EAST ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "MANSUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-216-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "35113",
            "primary": true
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "AL",
            "license": "35113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.