Active NPI
Tyler Michael Mobley, P.T.
- Physical Therapist
- Anniston, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2072
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5860
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2072 | AL | Primary |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
PO Box 1380
Anniston, AL 36202-1380
Phone (256) 235-5860
Other practice location 1
1622 Church Ave SE
Jacksonville, AL 36265-3200
Phone (256) 365-2792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98783 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Alabama College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Decatur Hwy
Suite 125
Gardendale, AL 35071-2385
Phone (205) 285-8790
800 Pelham Rd S
Jacksonville, AL 36265-2736
Phone (256) 365-2792
886 US Hwy 431
Boaz, AL 35957-1925
Phone (256) 803-2178
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2072 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Alabama LLC | Current | Accepting new patients | |
| Champion Rehab Resources, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1622 Church Ave SE
Jacksonville, AL 36265
Phone (256) 365-2792
800 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 365-2792
Organizations & group practices 3
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.
-
- Physical Therapist
- Gardendale, AL
- NPI 1023440583
-
- Physical Therapy Clinic/Center
- Northport, AL
- NPI 1417593625
-
- Physical Therapist
- Vestavia, AL
- NPI 1003437906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1881748408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1380",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362021380",
"telephone_number": "256-235-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074716",
"telephone_number": "256-235-5860"
}
],
"practiceLocations": [
{
"address_1": "1622 Church Ave SE",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AL",
"postal_code": "362653200",
"country_code": "US",
"telephone_number": "256-365-2792",
"fax_number": "256-365-2793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOBLEY",
"first_name": "TYLER",
"middle_name": "MICHAEL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "2072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "98783",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.