P4 Physical Therapy - Athens, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

P4 PHYSICAL THERAPY - ATHENS, LLC

Practice address

15641 E Limestone Rd
Athens, AL 35613-7518

Phone

(256) 937-1360

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Smith

Title

Director of Revenue Cycle

Phone

(205) 531-4200

Specialties & licenses 1

Addresses

Tax ID family

P4 Physical Therapy - Athens LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• P4 Physical Therapy - Athens, LLC

  • Physical Therapy Clinic/Center
  • Ardmore, AL
  • NPI 1902499494
  NPD tax ID

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1992398481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LANE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352166821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15641 E LIMESTONE RD",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137518",
            "telephone_number": "256-937-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4 PHYSICAL THERAPY - ATHENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "205-531-4200"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Surgery Specialists, Inc. (Ortho Sports Athens, LLC)
• Tristan Oswald, DPT
• Duane Eddie Owen, RN
• Idara Oyekanmi, ACNPC-AG
• P4 Physical Therapy - Athens, LLC
• P4 Physical Therapy Limited Partnership
• Mary V Pachol, BSW
• Nestor J Pagan, D.C.
• Pain Management Associates LLC
• Olivia Palmer, CRNP

• Physical Therapist in Athens, AL
• Providers in Athens, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.