ALABAMA FYZICAL (NPI# 1043860893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043860893 |
| Entity Type | Organization |
| Organization Name | ALABAMA FYZICAL |
| Practice Address |
4280 Watermelon Rd Ste 113 Northport AL 35473-5163 |
| Mailing Address |
1300 Mcfarland Blvd Ne Ste 150 Tuscaloosa AL 35406-2283 |
| Practice Telephone | 2053437711 |
| Practice Fax Number | 2057584415 |
| Mailing Telephone | 2057589041 |
| Mailing Fax Number | 2057584415 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | CARLISLE STEPHENSON (PARTNER) |
| Authorized Official Telephone | 2057589041 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fyzical Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Alabama Fyzical, LLC | 1300 Mcfarland Blvd Ne Ste 150, Tuscaloosa, AL 35401 |
| Street Address |
4280 WATERMELON RD STE 113 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593625 | Drayer Physical Therapy Alabama LLC | Clinic/Center | 12420 Wildcat Dr Unit B, Northport, AL 35475-4576 | 2019-11-22 |
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1982951026 | Northriver Therapy | Clinic/Center | 400 Mcfarland Blvd, Ste F, Northport, AL 35476-3371 | 2012-08-08 |
| 1811132764 | Marion Hutchinson Illich | Clinic/Center | 65 Scudder Pl, Northport, NY 11768-3026 | 2008-12-06 |
| 1093279101 | Dch Encore Rehabilitation, LLC | Clinic/Center | 92 Mcfarland Blvd, Northport, AL 35476-3348 | 2019-01-23 |
| 1366835811 | Northport Physical Therapy, LLC | Clinic/Center | 301 N Mill St, Northport, MI 49670-5009 | 2015-03-09 |
| 1770830242 | Encore Rehabilitation, Inc. | Clinic/Center | 92 Mcfarland Blvd, Northport, AL 35476-3348 | 2012-08-14 |
| 1528389319 | Seablue Physical Therapy LLC | Clinic/Center | 67 Atlantic Hwy, Northport, ME 04849 | 2010-06-16 |
| 1811196124 | Meharry Physical Therapy, Inc. | Clinic/Center | 525 Energy Center Blvd, Suite 1601, Northport, AL 35473-5830 | 2007-07-16 |
| 1083771836 | Village Physical Therapy, P.C. | Clinic/Center | 433 Fort Salonga Rd, Northport, NY 11768-3048 | 2007-01-02 |
| Find all providers in NORTHPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.