Individual provider Active NPI

Karmen Mims, DPT

  • Physical Therapist
  • Clanton, AL
National Provider Identifier
1932923935
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12090 Issued in AL
Practice address
2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone
(205) 755-6110
Fax
(205) 755-6108
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 PTH12090 AL Primary

Addresses

Primary practice location

2030 Lay Dam Rd
Clanton, AL 35045-8344

Mailing address

2101 Highland Ave S Ste 350
Birmingham, AL 35205-4009
Phone (205) 755-6110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207000897 AL Practitioner - Physical Therapist in Private Practice 7911437835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chilton County Physical TherapyGroup PAC ID 3476703620, 4 clinicians

Practice addresses (Care Compare)

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (888) 315-2615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chilton County Physical Therapy Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

Organizations & group practices 1

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": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1932923935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHLAND AVE S STE 350",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054009",
            "telephone_number": "205-755-6110",
            "fax_number": "205-755-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458344",
            "telephone_number": "205-755-6110",
            "fax_number": "205-755-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "KARMEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.