Active NPI
John Kenneth Massey, DPT
- Physical Therapist
- Fort Payne, AL
National Provider Identifier
1912565615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9356
- Practice address
- 1906 Glenn Blvd SW Ste 1200
Fort Payne, AL 35968-3547 - Phone
- (256) 364-8303
- NPI assigned
- May 29, 2019
- Sex
- Male
- Sole proprietor
- No
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 | PTH9356 | AL | Primary |
Addresses
Primary practice location
1906 Glenn Blvd SW Ste 1200
Fort Payne, AL 35968-3547
Mailing address
507 S 4TH St
Gadsden, AL 35901-5216
Phone (256) 456-0563
Other practice location 1
507 S 4th St
Gadsden, AL 35901-5216
Phone (256) 456-0563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Alabama College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Drinkard Dr NW
Fort Payne, AL 35967-3758
Phone (256) 997-9006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9356 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Partners of Fort Payne | Physical Therapist | Current | Accepting new patients |
| Rehab Partners, P.C. | Current | Accepting new patients |
Locations
121 Drinkard Dr NW
Fort Payne, AL 35967
Phone (256) 543-2981
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fort Payne, AL
- NPI 1164990248
-
- Physical Therapy Clinic/Center
- Gadsden, AL
- NPI 1750383998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1912565615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S 4TH ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015216",
"telephone_number": "256-456-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 GLENN BLVD SW STE 1200",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683547",
"telephone_number": "256-364-8303"
}
],
"practiceLocations": [
{
"address_1": "507 S 4th St",
"address_purpose": "LOCATION",
"city": "Gadsden",
"state": "AL",
"postal_code": "359015216",
"country_code": "US",
"telephone_number": "256-456-0563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSEY",
"first_name": "JOHN",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.