Active NPI
John Boerner, DPT
- Physical Therapist
- Pinson, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10344
- Practice address
- 6723 Deerfoot Pkwy Ste 105
Pinson, AL 35126-3095 - Phone
- (205) 681-5131
- Fax
- (205) 681-5133
- NPI assigned
- May 19, 2021
- Last updated
- May 19, 2021
- 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 | PTH10344 | AL | Primary |
Addresses
Primary practice location
6723 Deerfoot Pkwy Ste 105
Pinson, AL 35126-3095
Mailing address
2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Phone (205) 745-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6485 University Dr NW
Suite C
Huntsville, AL 35806-1715
Phone (256) 513-8280
964 Airport Rd SW
Suite 10
Huntsville, AL 35802-1393
Phone (256) 285-4250
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10344 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South - Airport Road LLC | Physical Therapist | Current | Accepting new patients |
| Therapy South Huntsville LLC | Physical Therapist | Current | Accepting new patients |
Locations
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
6485 University Dr NW
#C
Huntsville, AL 35806
Phone (256) 513-8280
964 Airport Rd SW
Ste 10
Huntsville, AL 35802
Phone (256) 285-4250
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Therapy South - Airport Road
- Physical Therapist
- Huntsville, AL
- NPI 1497367320
-
- Physical Therapist
- Huntsville, AL
- NPI 1760850572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1942874300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 GREYSTONE COMMERCIAL BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352422660",
"telephone_number": "205-745-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 DEERFOOT PKWY STE 105",
"city": "PINSON",
"state": "AL",
"postal_code": "351263095",
"telephone_number": "205-681-5131",
"fax_number": "205-681-5133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOERNER",
"first_name": "JOHN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinson, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.