Northriver Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTH3433 Issued in AL

Legal business name

NORTHRIVER THERAPY

Practice address

212 McFarland Blvd
Northport, AL 35476-3326

Phone

(205) 292-3266

NPI assigned

Aug 8, 2012

Last updated

Mar 8, 2023By 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

Todd Gibbons Miller, PTNPI 1154543338

Title

Owner

Phone

(205) 292-3266

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 8

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.

• Todd Gibbons Miller, PT

  • Orthopedic Physical Therapist
  • Northport, AL
  • NPI 1154543338
  Medicare reassignment Care Compare group Authorized official
• David Samuel Bates, PT, DPT

  • Physical Therapist
  • Northport, AL
  • NPI 1396390670
  Medicare reassignment Care Compare group NPD
• Trevor Dodd, DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1104631951

  AL

  Medicare reassignment Care Compare group NPD
• Ashley Marie Powell, PT, DPT

  • Physical Therapist
  • Tuscaloosa, AL
  • NPI 1023793692
  Medicare reassignment NPD
• Julie Beth Nicholson, LPTA

  • Physical Therapy Assistant
  • Northport, AL
  • NPI 1477896181
  NPD (past)
• Trisha Robertson

  • Physical Therapy Assistant
  • Northport, AL
  • NPI 1396243952
  NPD (past)
• Allison G Sanford, LPTA

  • Physical Therapy Assistant
  • Northport, AL
  • NPI 1881033322
  NPD (past)
• Lisa Branscome Smith

  • Physical Therapy Assistant
  • Northport, AL
  • NPI 1871083949
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1982951026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763326",
            "telephone_number": "205-333-5351",
            "fax_number": "205-333-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763326",
            "telephone_number": "205-292-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIVER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "GIBBONS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-292-3266",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northridge Dialysis Center, LLC
• Northside Drugs Inc (Northside Pharmacy)
• Northside Primary Care LLC
• Obstetrics and Gynecology of West Alabama PC
• Lindamarie Elizabeth Olson, PHD, LCSW
• Orthotic Center of West Alabama, Inc.

• Physical Therapy Clinic/Center in Northport, AL
• Providers in Northport, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.