Organization Active NPI

Physical Therapy of Phenix City, PC

  • Neurology Physical Therapist
  • Phenix City, AL
National Provider Identifier
1902836745
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PTH3832 Issued in AL
Legal business name
PHYSICAL THERAPY OF PHENIX CITY, PC
Practice address
1321 9TH Ave
Phenix City, AL 36867-5027
Phone
(334) 448-2641
Fax
(334) 298-6086
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Maria Fe Godbey, PT, DPT, NCSNPI 1447233135
Title
Ceo, Physical Therapist
Phone
(334) 448-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X 17304 AL
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X PTH3832 AL Primary

Addresses

Primary practice location

1321 9TH Ave
Phenix City, AL 36867-5027

Mailing address

6270A N Uchee Rd
Hatchechubbee, AL 36858-2808
Phone (334) 448-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421000890 AL Part B Supplier - Clinic/Group Practice 0648266148 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL

National Provider Directory

National Provider Directory

Locations

1022 13th St
Phenix City, AL 36867
Phone (334) 448-2641

1321 9th Ave
Phenix City, AL 36867
Phone (334) 448-2641

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1902836745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270A N UCHEE RD",
            "city": "HATCHECHUBBEE",
            "state": "AL",
            "postal_code": "368582808",
            "telephone_number": "334-448-3900",
            "fax_number": "334-298-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 9TH AVE",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675027",
            "telephone_number": "334-448-2641",
            "fax_number": "334-298-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF PHENIX CITY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "GODBEY",
        "authorized_official_first_name": "MARIA FE",
        "authorized_official_title_or_position": "CEO, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "334-448-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "AL",
            "license": "17304",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "AL",
            "license": "PTH3832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.