Magic City Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAGIC CITY PHYSICAL THERAPY

Practice address

1217 Willow Leaf Circle
Birmingham, AL 35244

Phone

(205) 602-1848

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Self Spencer, DPTNPI 1982867743

Title

Physical Therapist

Phone

(205) 602-1848

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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.

• Jennifer Self Spencer, PT, DPT, OCS

  • Physical Therapist
  • Hoover, AL
  • NPI 1982867743
  Medicare reassignment Care Compare group NPD Authorized official
• Samone J Jackson, OT

  • Occupational Therapist
  • Hoover, AL
  • NPI 1679348874
  Medicare reassignment Care Compare group NPD
• Regan G Nodjomian, DPT

  • Physical Therapist
  • Hoover, AL
  • NPI 1104635234
  Medicare reassignment Care Compare group NPD
• Jennifer Jacquelyn Fagen, PT, MSPT, PRPC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1750332235
  Medicare reassignment Care Compare group
• Mairi Kendrick, PT, DPT

  • Orthopedic Physical Therapist
  • Birmingham, AL
  • NPI 1699076661
  Medicare reassignment NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1912520115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILLOW LEAF CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444131",
            "telephone_number": "205-602-1848",
            "fax_number": "205-293-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WILLOW LEAF CIRCLE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-602-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4524 Southlake Pkwy Ste 10",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "35244",
            "country_code": "US",
            "telephone_number": "205-602-1848",
            "fax_number": "205-293-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGIC CITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SELF",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "205-602-1848",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE SUCH NUMBERS",
            "identifier": "000000000000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@magiccitypt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1678 Montgomery Hwy",
            "address_2": "suite 104 PMB #141",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonah Kyler Maggard
• Cristina Magi-Galluzzi, MD
• Magic City Chiropractic LLC
• Magic City Dentistry, PC
• Magic City Nutrition Counseling
• Magnolia Counseling & Consulting LLC
• Magnolia Health Associates, P.C.
• Magnolia Leaf Inc
• Magnolia Pediatrics South Inc
• Lexa Lucille Magnus, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.