Organization Active NPI

St Vincents Ambulatory Healthcare Network LLC

  • Physical Therapy Clinic/Center
  • Birmingham, AL
National Provider Identifier
1891212494
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ST VINCENTS AMBULATORY HEALTHCARE NETWORK LLC
Practice address
7191 Cahaba Valley Rd Ste 102
Birmingham, AL 35242-6443
Phone
(205) 408-6600
Fax
(205) 838-3216
NPI assigned
Aug 24, 2017
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Kyle Hupach
Title
VP Revenue Cycle
Phone
(205) 731-9287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7191 Cahaba Valley Rd Ste 102
Birmingham, AL 35242-6443

Mailing address

1130 22ND St S Ste 1000
Birmingham, AL 35205-2881
Phone (205) 212-6652

Other names 1

  • St Vincent's One Nineteen Physical Therapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628002418 AL Part B Supplier - Clinic/Group Practice 1355608456 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Hoover, AL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Vincent's One Nineteen Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1891212494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S STE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052881",
            "telephone_number": "205-212-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426443",
            "telephone_number": "205-408-6600",
            "fax_number": "205-838-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENTS AMBULATORY HEALTHCARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "HUPACH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "205-731-9287"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincent's One Nineteen Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St Vincent's One Nineteen Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.