UNIVERSITY OF SOUTH ALABAMA (NPI# 1760959613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760959613 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA |
| Practice Address |
1610 Center St Ste B Mobile AL 36604-1512 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514151670 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Authorized Official Name | GLEN OWEN BAILEY (CEO) |
| Authorized Official Telephone | 2514717118 |
| 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 |
|---|---|
| USA Pediatric Therapy - Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962862078 | University of South Alabama | Internal Medicine | 75 S University Blvd Ucom 6000 B, Mobile, AL 36688-0002 | 2016-03-02 |
| 1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
| 1992013593 | University of South Alabama | Clinic/Center | 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 | 2010-09-16 |
| 1689995748 | University of South Alabama | General Acute Care Hospital | 251 Cox St Ste 100, Mobile, AL 36604-3302 | 2010-06-11 |
| 1235290628 | University of South Alabama | Case Management | 1714 Center St, Mobile, AL 36604-3301 | 2006-12-12 |
| 1992746838 | University of South Alabama | Internal Medicine | 5870 Alumni Cir, Mobile, AL 36688-0001 | 2006-06-10 |
| 1972138022 | University of South Alabama | General Acute Care Hospital | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-10 |
| 1205303153 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1295202141 | University of South Alabama | Clinic/Center | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2018-10-30 |
| 1396225090 | University of South Alabama | Ambulance | 1700 Center St, Mobile, AL 36604-3301 | 2018-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH ALABAMA | 307 Univeristy Blvd 380 Administration Bldg, Mobile, AL 36688-3053 |
| Street Address |
1610 CENTER ST STE B |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699015453 | Rachel Hurst Frazier | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2013-02-15 |
| 1770100703 | Leslie A Mcwain | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2020-06-25 |
| 1679106561 | Ashley Hocklander Grove | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2020-02-19 |
| 1366087231 | Sarah A. Peacock | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-11-14 |
| 1124686845 | Usa Health Physician Billing Services LLC | Physical Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-05-29 |
| 1396303012 | Usa Health Physician Billing Services LLC | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-05-29 |
| 1750949475 | Usa Health Physician Billing Services LLC | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-05-29 |
| 1598229221 | Mary Helen Adams | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-01-28 |
| 1902360969 | Ali Nicole Smith | Occupational Therapist | 1610 Center St Ste B, Mobile, AL 36604-1543 | 2019-01-24 |
| 1356814198 | Clarrisa Pauli | Speech-Language Pathologist | 1610 Center St Ste B, Mobile, AL 36604-1512 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304323 | Encore Rehabilitation, Inc | Clinic/Center | 1059 Snow Road, Unit B, Mobile, AL 36695-3669 | 2019-09-04 |
| 1639552987 | Agilias Usa, Inc | Clinic/Center | 2344 Schillinger Rd S # 1-b, Mobile, AL 36695-4177 | 2015-07-06 |
| 1538558804 | Agilitas Usa, Inc | Clinic/Center | 3654 Airport Blvd Ste H, Mobile, AL 36608-1616 | 2015-01-09 |
| 1972907194 | Shauna Crenshaw | Clinic/Center | 3301 Knollwood Dr Bldg 4, Mobile, AL 36693-7003 | 2014-10-17 |
| 1932354735 | Port City Physical Therapy | Clinic/Center | 1242 Anchor Dr, Mobile, AL 36693-4500 | 2008-11-20 |
| 1750417002 | Encore Rehabilitation Inc | Clinic/Center | 5735 College Pkwy, Encore Rehab At Booth Bldg, Mobile, AL 36613-2842 | 2007-02-23 |
| 1922619733 | Advancing Health Physical Therapy Inc | Clinic/Center | 7921 Tanner Williams Rd Ste J, Mobile, AL 36608-8303 | 2020-08-14 |
| 1558857490 | Renew Physiotherapy | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2018-07-03 |
| 1366846883 | Encore Rehabilitation, Inc. | Clinic/Center | 3301 Knollwood Dr, Bldg 4, Mobile, AL 36693-7003 | 2014-10-13 |
| 1013325091 | Encore Rehabilitation, Inc. | Clinic/Center | 3280 Dauphin St, Suite A103, Mobile, AL 36606-4060 | 2014-07-23 |
| Find all providers in MOBILE | ||||
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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.