Individual provider Active NPI

Elisabeth May Douglass, DPT

  • Physical Therapist
  • Pell City, AL
National Provider Identifier
1972547636
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4475 Issued in AL
Practice address
85 Plaza Drive
Pell City, AL 35125
Phone
(205) 338-6106
Fax
(205) 814-9180
NPI assigned
Jun 15, 2006
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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 PTH4475 AL Primary

Addresses

Primary practice location

85 Plaza Drive
Pell City, AL 35125

Mailing address

2807 Greystone Comm Blvd.
Suite 34
Birmingham, AL 35242
Phone (205) 745-3660

Other names 1

  • Ms. Elisabeth May Garwick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000337 AL Practitioner - Physical Therapist in Private Practice 7911998927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Greystone, LLCGroup PAC ID 6103826474, 8 clinicians

Practice addresses (Care Compare)

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Phone (205) 408-1713

Merit-based Incentive Payment System (MIPS)

Final score
97.21 of 100Reported as individual
Quality
94.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4475ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Greystone, LLC Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Therapy South Leeds LLC Physical Therapist CurrentSince Mar 13, 2017 Accepting new patients
Therapy South Liberty Park LLC Physical Therapist CurrentSince Oct 1, 2014 Accepting new patients
Orthopaedic Specialists of Alabama, PC Past Accepting new patients
Orthopaedic Specialists of Alabama PC Past Accepting new patients

Locations

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

1101 Higrove Pkwy
Ste 125
Leeds, AL 35094
Phone (205) 699-1220

3800 River Run Dr
Ste 102
Mountain Brk, AL 35243
Phone (205) 970-2350

Organizations & group practices 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1972547636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 GREYSTONE COMM BLVD.",
            "address_2": "SUITE 34",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-745-3660",
            "fax_number": "205-408-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PLAZA DRIVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35125",
            "telephone_number": "205-338-6106",
            "fax_number": "205-814-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "ELISABETH",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "GARWICK",
            "middle_name": "MAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.