P4 Physical Therapy - Athens, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

P4 PHYSICAL THERAPY - ATHENS, LLC

Practice address

30285 Ardmore Ave
Ardmore, AL 35739-7468

Phone

(256) 937-1360

NPI assigned

Feb 16, 2021

Last updated

Jan 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Smith

Title

Director of Revenue Cycle

Phone

(205) 531-4200

Specialties & licenses 1

Addresses

Tax ID family

P4 Physical Therapy - Athens LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• P4 Physical Therapy - Athens, LLC

  • Physical Therapist
  • Athens, AL
  • NPI 1992398481
  NPD tax ID

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1902499494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352166821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30285 ARDMORE AVE",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397468",
            "telephone_number": "256-937-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4 PHYSICAL THERAPY - ATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "205-531-4200"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Edwin Murph, RPH
• Debora Sue Nichols, LPC
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northstar Counseling & Consulting LLC
• Open Arms Family Medicine, P.C.
• P4 Physical Therapy Limited Partnership
• Payless at Fred's Inc (Payless at Freds)
• Payless Pharmacy
• Payless Pharmacy
• Premier Legacy Health, LLC

• Physical Therapy Clinic/Center in Ardmore, AL
• Providers in Ardmore, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.