Active NPI
Physical Medicine & Rehabilitation Associates of East Alabama
- Physical Medicine & Rehabilitation Physician
- Valley, AL
National Provider Identifier
1861972002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35113
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35113 | AL | Primary |
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryNPI 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.