Individual provider Active NPI

Charles Simpson

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1912106618
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1-0505 Issued in AL
Practice address
806 Saint Vincents Dr Ste 620
Birmingham, AL 35205-1616
Phone
(205) 939-1557
NPI assigned
Jul 12, 2007
Last updated
Aug 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1-0505 AL Primary

Addresses

Primary practice location

806 Saint Vincents Dr Ste 620
Birmingham, AL 35205-1616

Mailing address

608 Norris Ave
Nashville, TN 37204-3708
Phone (615) 695-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-0505ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Associates, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.simpson.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: charles.simpson.p2@direct.toa.nextgenshare.com
  • Direct secure messaging: charles.simpson.p3@direct.toa.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1912106618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NORRIS AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043708",
            "telephone_number": "615-695-1455",
            "fax_number": "615-695-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR STE 620",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051616",
            "telephone_number": "205-939-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "1-0505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 2015; 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.