ICON PERFORMANCE (NPI# 1154662278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154662278 |
| Entity Type | Organization |
| Organization Name | ICON PERFORMANCE |
| Practice Address |
3156 Sunview Dr Vestavia AL 35243-5433 |
| Practice Telephone | 2059392914 |
| Mailing Telephone | 2059392914 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | TERRI CONNELL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2052593991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ICON PERFORMANCE L.L.C. | 11 Logan Ct., Seekonk, MA 02771 |
| Oregon Corporations, Companies and Business Names | ICON PERFORMANCE NUTRITION, LLC | 17749 Leafy Ln, Lake Oswego, OR 97034 |
| Street Address |
3156 SUNVIEW DR |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35243-5433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083658736 | Sabrina S Dotson | Physical Therapist | 3156 Sunview Dr, Vestavia, AL 35243-5433 | 2006-06-15 |
| 1194228643 | Icon Performance Physical Therapy | Physical Therapist | 3156 Sunview Dr, Vestavia, AL 35243-5433 | 2018-03-12 |
| 1962869057 | Encore Performance Rehab, LLC | Clinic/Center | 3156 Sunview Dr, Vestavia, AL 35243-5433 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265654073 | Lisa Cates Altamirano | Physical Therapist | 4851 Cahaba River Rd Ste 137, Vestavia, AL 35243-2359 | 2007-05-02 |
| 1376082032 | Teague Willson Delmas | Physical Therapist | 100 Centerview Dr, Vestavia, AL 35216-3747 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336630755 | Karen Janert Vaughn | Physical Therapist | 4863 Promenade Pkwy Ste 109, Bessemer, AL 35022-7309 | 2018-05-21 |
| 1376963884 | Amelia Ratliff | Physical Therapist | 1550 E University Dr, Auburn, AL 36830-6352 | 2014-04-23 |
| 1669740106 | Wendy Woods Johnson | Physical Therapist | 1310 Alford Ave Ste 102, Hoover, AL 35226-3100 | 2011-12-13 |
| 1790082675 | Laura Elizabeth Richardson | Physical Therapist | 720 32nd St S, Birmingham, AL 35233-3516 | 2011-02-11 |
| 1407164882 | Cullman Physical Therapy, LLC | Physical Therapist | 1724 2nd Ave Nw, Cullman, AL 35055-5820 | 2010-09-20 |
| 1811134406 | Rachel Marie Green | Physical Therapist | 1118b Us Hwy 231, Troy, AL 36081 | 2009-01-19 |
| 1417194754 | Maribel Vista Dela Cruz | Physical Therapist | 1920 Springville Road, Suite 104, Birmingham, AL 35215 | 2009-01-08 |
| 1891993564 | Christopher Brian Stewart | Physical Therapist | 8546 Southern Oak Ct, Mobile, AL 36695-7307 | 2007-07-04 |
| 1750585527 | Chuck Lee Richards | Physical Therapist | 121 N 20th St Ste 18, Opelika, AL 36801-5457 | 2007-06-13 |
| 1154543338 | Todd Gibbons Miller | Physical Therapist | 1726 Ridgedale Dr, Tuscaloosa, AL 35406-1942 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.