Mary P Waldner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH1003 Issued in AL

Practice address

42465 Highway 195
Haleyville, AL 35565-7052

Phone

(205) 485-7150

Fax

(205) 485-7152

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary P Garrison Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1891117610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012535",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42465 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657052",
            "telephone_number": "205-485-7150",
            "fax_number": "205-485-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDNER",
        "first_name": "MARY",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GARRISON",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sycamore Lakeland LLC
• Haoting Zhang Tiedemann, DMD
• Amy Traylor, MD
• Valley Healthcare
• Wal-Mart Stores East LP
• Allan Christopher Walls, MD
• Diana W. Warren, DO
• James Hugh Warren, DPT
• Stephanie Leigh White, DC
• Laura B Williams, CRNP

• Physical Therapist in Haleyville, AL
• Providers in Haleyville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.