Advanced Therapy Center, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4059 Issued in AL

Legal business name

ADVANCED THERAPY CENTER, INC

Practice address

1302 Woodward Ave
Muscle Shoals, AL 35661-2236

Phone

(256) 386-0885

Fax

(256) 386-0895

NPI assigned

Jun 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell E Burks, DPTNPI 1942402037

Title

Co-Director

Phone

(256) 386-0885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Edwin Burks, DPT

  • Physical Therapist
  • Muscle Shoals, AL
  • NPI 1942402037
  Medicare reassignment Care Compare group NPD Authorized official
• Lance Allen Willis, RPT

  • Physical Therapist
  • Muscle Shoals, AL
  • NPI 1427250679
  Medicare reassignment Care Compare group NPD
• Lori Willis

  • Physical Therapist
  • Muscle Shoals, AL
  • NPI 1851401749
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982807228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SKY PARK RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35634",
            "telephone_number": "256-335-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 WOODWARD AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612236",
            "telephone_number": "256-386-0885",
            "fax_number": "256-386-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "256-386-0885",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Life Neurology Center
• 200 Alabama Ave Opco, LLC (Cypress Cove Post Acute)
• A & S Private Care Services
• Acaf of the Shoals
• Advantage Family Care, Inc. (Huntsville Hospital Urgent Care - Muscle Shoals)
• Agape Counseling LLC
• Agilitas USA, Inc (Results Physiotherapy)
• Laura Akers, RN, BSN
• Ahmad B Al-Hamda, MD

• Physical Therapist in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.