Active NPI
Jeanie A Hammond, PT
- Physical Therapist
- Decatur, AL
National Provider Identifier
1962534685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH773
- Practice address
- 922 6TH Ave SE
Suite a
Decatur, AL 35601-3907 - Phone
- (256) 309-0454
- Fax
- (256) 309-0422
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- 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 | PTH773 | AL | Primary |
Addresses
Primary practice location
922 6TH Ave SE
Suite a
Decatur, AL 35601-3907
Mailing address
922 6TH Ave SE
Suite a
Decatur, AL 35601-3907
Phone (256) 309-0454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51535925 | Other | AL | BCBS |
| 890017200 | Medicaid | AL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH773 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechcare, Inc. | Past | Accepting new patients | |
| Reach Pediatrics Therapy Services PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1346469004
-
- Speech-Language Pathologist
- Decatur, AL
- NPI 1811045529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962534685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 6TH AVE SE",
"address_2": "SUITE A",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013907",
"telephone_number": "256-309-0454",
"fax_number": "256-309-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 6TH AVE SE",
"address_2": "SUITE A",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013907",
"telephone_number": "256-309-0454",
"fax_number": "256-309-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "JEANIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51535925",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890017200",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.