Individual provider Active NPI

John Kenneth Massey, DPT

  • Physical Therapist
  • Fort Payne, AL
National Provider Identifier
1912565615
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9356 Issued in AL
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

Updated by the provider on May 29, 2019

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190927000699 AL Practitioner - Physical Therapist in Private Practice 3375873755 Reassigns benefits to 1 organization

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
Rehab Partners of Fort PayneGroup PAC ID 7719227685, 5 clinicians

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

LicenseStateTypeSpecialty
PTH9356ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Partners of Fort Payne Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Rehab Partners, P.C. CurrentSince Jul 27, 2020 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.

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.

Verify at the official NPI Registry.