Individual provider Active NPI

John Boerner, DPT

  • Physical Therapist
  • Pinson, AL
National Provider Identifier
1942874300
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10344 Issued in AL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 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

Enrollment IDStateProvider typePAC IDDetails
I20210628002755 AL Practitioner - Physical Therapist in Private Practice 9032510094 Reassigns benefits to 2 organizations

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
Therapy South Huntsville, LLCGroup PAC ID 7113225558, 6 clinicians
Therapy South - Airport Road LLCGroup PAC ID 5991123309, 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10344ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South - Airport Road LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Therapy South Huntsville LLC Physical Therapist CurrentSince Feb 15, 2023 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.

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.

Verify at the official NPI Registry.