Courtney George Connell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH7669 Issued in AL

Practice address

2030 Lay Dam Rd
Clanton, AL 35045-8344

Phone

(205) 755-6110

NPI assigned

Mar 2, 2020

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chilton County Physical Therapy

  • Physical Therapist
  • Clanton, AL
  • NPI 1912257544

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1952935611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BAY ST",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453000",
            "telephone_number": "205-259-3991",
            "fax_number": "205-876-8063"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "COURTNEY",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clanton Pediatrics of Alabama PC (chilton pediatrics of alabama)
• Kimberly E Clark, LICSW
• Tiffany L Clayton, DPT
• Clinic W LLC
• Adrianne Cofer, NCC, ALC
• Michael G Connolly Jr., MD
• Brenda Liles Conradi, R.PH.
• Cornerstone Fitness and Wellness
• Covenant Company Chilton (Chilton Pediatrics)
• Hobson Lewis Curry Jr., RPH

• Physical Therapist in Clanton, AL
• Providers in Clanton, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.