Organization Active NPI

North Dothan Physical Therapy Center, LLC

  • Physical Therapist
  • Dothan, AL
National Provider Identifier
1942243217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH 4029 Issued in AL
Legal business name
NORTH DOTHAN PHYSICAL THERAPY CENTER, LLC
Practice address
1970 Reeves St
Suite 223
Dothan, AL 36303-5882
Phone
(334) 792-2345
Fax
(334) 792-4075
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aristotle O Kirkland
Title
Owner
Phone
(334) 792-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTH 4029 AL Primary

Addresses

Primary practice location

1970 Reeves St
Suite 223
Dothan, AL 36303-5882

Mailing address

PO Box 5613
Dothan, AL 36302-5613

National Provider Directory

National Provider Directory

Locations

1970 Reeves St
Ste 223
Dothan, AL 36303
Phone (334) 792-2345

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942243217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5613",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363025613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 REEVES ST",
            "address_2": "SUITE 223",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363035882",
            "telephone_number": "334-792-2345",
            "fax_number": "334-792-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DOTHAN PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "ARISTOTLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-792-2345"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH 4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.