Individual provider Active NPI

Jodi Cavin, PHYSICAL THERAPIST

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1972658565
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3993 Issued in AL
Practice address
3105 Independence Dr.
Suite 105
Birmingham, AL 35209-4111
Phone
(205) 803-2210
Fax
(205) 803-2214
NPI assigned
Jan 24, 2007
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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 PTH3993 AL Primary

Addresses

Primary practice location

3105 Independence Dr.
Suite 105
Birmingham, AL 35209-4111

Mailing address

3105 Independence Dr.
Suite 105
Birmingham, AL 35209-4111
Phone (205) 803-2210

Other identifiers 2

IdentifierTypeStateIssuer
515-38534OtherALBLUE CROSS BLUE SHIELD
515-38534OtherALPHYSICAL THERAPIST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817001268 AL Practitioner - Physical Therapist in Private Practice 0749575694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Neurology AssociatesGroup PAC ID 9739088626, 14 clinicians

Practice addresses (Care Compare)

3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111
Phone 20580322103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3993ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Neurology Associates CurrentSince Jun 1, 2016 Accepting new patients
Matthew S. Davis, M.D. LLC Past Accepting new patients

Locations

2700 Rogers Dr
Ste 201
Birmingham, AL 35209
Phone (205) 414-6097

3105 Independence Dr
#105
Birmingham, AL 35209
Phone (205) 803-2210

513 Brookwood Blvd
Ste 260
Homewood, AL 35209
Phone (205) 802-6595

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1972658565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR.",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210",
            "fax_number": "205-803-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR.",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-803-2210",
            "fax_number": "205-803-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVIN",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-38534",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "515-38534",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.