Individual provider Active NPI

Jon Lamb, PT

  • Physical Therapist
  • Bessemer, AL
National Provider Identifier
1982639845
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3086 Issued in AL
Practice address
4847 Promenade Pkwy Ste 102
Bessemer, AL 35022-7310
Phone
(205) 481-9012
Fax
(205) 481-0914
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 PTH3086 AL Primary

Addresses

Primary practice location

4847 Promenade Pkwy Ste 102
Bessemer, AL 35022-7310

Mailing address

113 Bridgewater Dr
Helena, AL 35080-3278

Other practice location 1

3090 Healthy Way
Vestavia, AL 35243-2323
Phone (205) 481-9012

Other identifiers 1

IdentifierTypeStateIssuer
51518840OtherALBCBS OF AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000792 AL Practitioner - Physical Therapist in Private Practice 9931276904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physical Therapy, LLCGroup PAC ID 8820165897, 3 clinicians

Practice addresses (Care Compare)

4847 Promenade Pkwy
Suite 102
Bessemer, AL 35022-7310
Phone (205) 481-9012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTH3086ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2008 Accepting new patients
Therapy South Patchwork Farms LLC Physical Therapist PastSince Aug 6, 2008 Accepting new patients
Rehab Associates, LLC Physical Therapist Past Accepting new patients

Locations

4863 Promenade Pkwy
Ste 109
Bessemer, AL 35022
Phone (205) 481-9012

4847 Promenade Pkwy
Ste 102
Bessemer, AL 35022
Phone (205) 481-9012

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1982639845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BRIDGEWATER DR",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350803278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 PROMENADE PKWY STE 102",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227310",
            "telephone_number": "205-481-9012",
            "fax_number": "205-481-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3090 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432323",
            "country_code": "US",
            "telephone_number": "205-481-9012",
            "fax_number": "205-481-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "JON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51518840",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.