Active NPI
Paul Higginbotham
- Physical Therapist
- Brewton, AL
National Provider Identifier
1982886479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH2857
- Practice address
- 608 Douglas Ave
Brewton, AL 36426-1812 - Phone
- (251) 769-1682
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PTH2857 | AL | Primary |
Addresses
Primary practice location
608 Douglas Ave
Brewton, AL 36426-1812
Mailing address
608 Douglas Ave
Brewton, AL 36426-1812
Phone (251) 769-1682
Other names 1
- Hans Higginbotham
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 |
|---|---|---|---|
| PTH2857 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1982886479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 DOUGLAS AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364261812",
"telephone_number": "251-769-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 DOUGLAS AVE",
"city": "BREWTON",
"state": "AL",
"postal_code": "364261812",
"telephone_number": "251-769-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINBOTHAM",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH2857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANS",
"last_name": "HIGGINBOTHAM",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Brewton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.