Active NPI
Michael Puntillo
- Physical Therapist
- Alexander City, AL
National Provider Identifier
1912523192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9696
- Practice address
- 1784 Elkahatchee Rd
Alexander City, AL 35010-4800 - Phone
- (256) 329-0868
- NPI assigned
- Jun 23, 2020
- Last updated
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9696 | AL | Primary |
Addresses
Primary practice location
1784 Elkahatchee Rd
Alexander City, AL 35010-4800
Mailing address
285 Vine LN
Amherst, NY 14228-1847
Phone (716) 425-6038
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9696 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1912523192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 VINE LN",
"city": "AMHERST",
"state": "NY",
"postal_code": "142281847",
"telephone_number": "716-425-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1784 ELKAHATCHEE RD",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350104800",
"telephone_number": "256-329-0868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNTILLO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexander City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.