DADEVILLE SPORTS MEDICINE & PHYSICAL THERAPY (NPI# 1699895490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699895490 |
| Entity Type | Organization |
| Organization Name | DADEVILLE SPORTS MEDICINE & PHYSICAL THERAPY |
| Other Organization Name | LAKE MARTIN PHYSICAL THERAPY |
| Practice Address |
1120 Airport Dr Suite 103 Alexander City AL 35010-3436 |
| Practice Telephone | 2563298180 |
| Practice Fax Number | 2563298116 |
| Mailing Telephone | 2563298180 |
| Mailing Fax Number | 2563298116 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MS. KATHY SYMONDS (OFFICE MANAGER) |
| Authorized Official Telephone | 2563298180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTH1013 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake Martin Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1120 AIRPORT DR SUITE 103 |
| City | ALEXANDER CITY |
| State | AL |
| Zip Code | 35010-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669479754 | Mark Franklin Staples | Physical Therapist | 1120 Airport Dr, Ste 103, Alexander City, AL 35010-3444 | 2005-07-05 |
| 1174051643 | Amanda Hardy | Nurse Practitioner | 1120 Airport Dr, Alexander City, AL 35010-3436 | 2017-05-30 |
| 1114067741 | James H. Poole & Associates, O.d., P.C. | Optometrist | 1120 Airport Dr, Suite 104, Alexander City, AL 35010-3436 | 2007-02-06 |
| 1811979982 | James Howard Poole | Optometrist | 1120 Airport Dr, Suite104, Alexander City, AL 35010-3436 | 2005-11-15 |
| 1740261601 | Ernest Jonathan Champion | Optometrist | 1120 Airport Dr, Ste 104, Alexander City, AL 35010-3436 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518216 | Acaf of East Alabama, LLC | Home Health | 2056 Cherokee Road, Alexander City, AL 35010 | 2020-11-04 |
| 1982240941 | Heritage Pediatrics LLC | Pediatrics | 3358 Highway 280, Suite 108, Alexander City, AL 35010 | 2019-11-25 |
| 1902330251 | Evelyn Angels Health Care LLC | In Home Supportive Care | 2508 Countyr Rd, Alexander City, AL 35010 | 2017-04-13 |
| 1104279504 | Rural Urgent Care LLC | Clinic/Center | 2508 Hwy 280, Alexander City, AL 35010 | 2016-07-20 |
| 1881849024 | Russell Medical Center | Pharmacy | Us Hwy 280 By-pass, Alexander City, AL 35010 | 2008-12-01 |
| 1710142773 | Chante Mitchell Ruffin | Pediatrics | 1962 Cherokee Road, Alexander City, AL 35010 | 2008-07-18 |
| 1790998508 | John Coley Blythe | Internal Medicine | 3185 Highway 22 West, Alexander City, AL 35010 | 2007-05-08 |
| 1518098060 | Tso and Young PC | Dentist | 659 Alex City Shopping Center Dr, Alexander City, AL 35010 | 2007-03-08 |
| 1750423174 | Carlisle Drug Co. Inc | Pharmacy | 839 Airport Dr. Suite 101, Alexander City, AL 35010 | 2007-02-13 |
| 1407917743 | Ruth S Nabors | Anesthesiology | 3316 Us Hwy 280, Alexander City, AL 35010 | 2006-12-12 |
| Find all providers in zip 35010 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861889768 | The Summit Health & Rehab Services, Inc | Clinic/Center | 1784 Elkahatchee Rd, Alexander City, AL 35010-4800 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850385 | Thrive Physical Therapy and Wellness LLC | Clinic/Center | 4268 Cahaba Heights Ct Ste 104, Vestavia, AL 35243-5737 | 2020-08-04 |
| 1851915581 | Drmattdpt, LLC | Clinic/Center | 2615 South Ln, Mountain Brk, AL 35223-1131 | 2020-05-28 |
| 1215550702 | Good Samaritan Clinic Inc | Clinic/Center | 810 Shoney Dr Sw Ste 105, Huntsville, AL 35801-5450 | 2020-05-19 |
| 1417593625 | Drayer Physical Therapy Alabama LLC | Clinic/Center | 12420 Wildcat Dr Unit B, Northport, AL 35475-4576 | 2019-11-22 |
| 1861033466 | Bayside Physical Therapy, LLC | Clinic/Center | 341 Greeno Rd N Ste 102, Fairhope, AL 36532-2979 | 2019-10-04 |
| 1942850102 | Mobility Rehab LLC - Eastdale Estates | Clinic/Center | 5801 Eastdale Dr Apt 122, Montgomery, AL 36117-2160 | 2019-09-18 |
| 1861042384 | Encore Rehabilitation, Inc. | Clinic/Center | 852 S Forest Ave, Luverne, AL 36049-7016 | 2019-09-17 |
| 1043860893 | Alabama Fyzical | Clinic/Center | 4280 Watermelon Rd Ste 113, Northport, AL 35473-5163 | 2019-09-13 |
| 1497304323 | Encore Rehabilitation, Inc | Clinic/Center | 1059 Snow Road, Unit B, Mobile, AL 36695-3669 | 2019-09-04 |
| 1316594732 | Total Rehab Solutions LLC | Clinic/Center | 4 Chambers Sq, Valley, AL 36854-2800 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDER CITY |
| Zip Code | 35010 |
Please comment or provide details below to improve the information on DADEVILLE SPORTS MEDICINE & PHYSICAL THERAPY.
| 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.