Organization Active NPI

Maximum Physical Therapy and Sports Wellness, Inc

  • Physical Therapy Clinic/Center
  • Alabaster, AL
National Provider Identifier
1922424142
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MAXIMUM PHYSICAL THERAPY AND SPORTS WELLNESS, INC
Practice address
9330 Highway 119 Ste 200
Alabaster, AL 35007-5412
Phone
(205) 624-3073
Fax
(205) 624-3043
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Kelly Ray
Title
Owner
Phone
(205) 981-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9330 Highway 119 Ste 200
Alabaster, AL 35007-5412

Mailing address

2680 Valleydale Rd
Suite a
Hoover, AL 35244-2023
Phone (205) 981-1690

Other practice location 1

2680 Valleydale Rd
Suite A06
Hoover, AL 35244-2023
Phone (205) 981-1690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502000763 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193958833 Receives reassigned benefits from 4 practitioners
Practice locations: Alabaster, AL; Pelham, AL; Hoover, AL

National Provider Directory

National Provider Directory

Locations

9330 Highway 119
Ste 200
Alabaster, AL 35007
Phone (205) 624-3073

2680 Valleydale Rd
Ste A6
Hoover, AL 35244
Phone (205) 981-1690

2680 Valleydale Rd
#A
Hoover, AL 35244

2680 Valleydale Rd
Ste A
Hoover, AL 35244
Phone (205) 317-5417

2709 Pelham Pkwy
#C
Pelham, AL 35124
Phone (205) 846-3007

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1922424142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 VALLEYDALE RD",
            "address_2": "SUITE A",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442023",
            "telephone_number": "205-981-1690",
            "fax_number": "205-981-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 HIGHWAY 119 STE 200",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350075412",
            "telephone_number": "205-624-3073",
            "fax_number": "205-624-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Valleydale Rd",
            "address_2": "Suite A06",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352442023",
            "country_code": "US",
            "telephone_number": "205-981-1690",
            "fax_number": "205-981-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIMUM PHYSICAL THERAPY AND SPORTS WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-981-1690"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.