Active NPI
Brian Christopher Booth, DPT
- Physical Therapist
- Wetumpka, AL
National Provider Identifier
1942632385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6906
- Practice address
- 74240 Tallassee Hwy
Wetumpka, AL 36092-5504 - Phone
- (334) 514-4488
- Fax
- (334) 514-4424
- NPI assigned
- Aug 8, 2013
- 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 | PTH6906 | AL | Primary |
Addresses
Primary practice location
74240 Tallassee Hwy
Wetumpka, AL 36092-5504
Mailing address
300 Crommelin Drive
Wetumpka, AL 36092
Phone (334) 201-2852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1942632385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CROMMELIN DRIVE",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "36092",
"telephone_number": "334-201-2852",
"fax_number": "334-514-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74240 TALLASSEE HWY",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360925504",
"telephone_number": "334-514-4488",
"fax_number": "334-514-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "BRIAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.