ABBY M ELLENBURG (NPI# 1548294713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548294713 |
| Entity Type | Individual |
| Full Name | ABBY M ELLENBURG |
| Credential | PT |
| Practice Address |
4223 Orange Beach Blvd Suite D Orange Beach AL 36561-3459 |
| Mailing Address |
2652 Hampton Park Cir Foley AL 36535-1130 |
| Practice Telephone | 2519811300 |
| Practice Fax Number | 2519811305 |
| Mailing Telephone | 2519716219 |
| Mailing Fax Number | 2563507757 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PTH4586 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51002181 | 01 |
| Street Address |
4223 ORANGE BEACH BLVD SUITE D |
| City | ORANGE BEACH |
| State | AL |
| Zip Code | 36561-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538118666 | Foley Clinic Corp | Internal Medicine | 4223 Orange Beach Blvd, Ste. B, Orange Beach, AL 36561-3409 | 2006-05-08 |
| 1801348933 | Symbol Health Solutions, L.lc. | Clinic/Center | 4223 Orange Beach Blvd, Suite A West, Orange Beach, AL 36561-3459 | 2016-10-24 |
| 1699109926 | Swg Enterprises PC | Chiropractor | 4223 Orange Beach Blvd, Suite B, Orange Beach, AL 36561-3459 | 2013-08-22 |
| 1821267444 | Melissa R Lacour | Physical Therapist | 4223 Orange Beach Blvd, Suite D, Orange Beach, AL 36561-3459 | 2008-02-28 |
| 1356556815 | Gravely Chiropractic PC | Chiropractor | 4223 Orange Beach Blvd, Suite B, Orange Beach, AL 36561-3459 | 2007-05-10 |
| 1669695847 | Trella D Boone | Physical Therapist | 4223 Orange Beach Blvd, Suite D, Orange Beach, AL 36561-3459 | 2007-04-10 |
| 1902968696 | Kimberly A Hall | Physical Therapist | 4223 Orange Beach Blvd, Suite D, Orange Beach, AL 36561-3459 | 2006-12-16 |
| 1790861615 | Steven Wayne Gravely | Chiropractor | 4223 Orange Beach Blvd, Suite B, Orange Beach, AL 36561-3459 | 2006-10-31 |
| 1952485658 | Russell J Proctor Md LLC | Internal Medicine | 4223 Orange Beach Blvd, Ste. A, Orange Beach, AL 36561-3459 | 2006-10-25 |
| 1912920133 | Anthony T Kennon | Physical Therapist | 4223 Orange Beach Blvd, Suite D, Orange Beach, AL 36561-3459 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811450331 | City of Orange Beach | Ambulance | 25853 John Snook Drive, Orange Beach, AL 36561 | 2019-04-11 |
| 1922349133 | Phalanx Med Alabama, LLC | Durable Medical Equipment & Medical Supplies | 5910 Canal Road, Suite O #189, Orange Beach, AL 36561 | 2013-03-13 |
| 1336319953 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 25761 Perdido Beach Blvd., Orange Beach, AL 36561 | 2008-03-11 |
| 1043489412 | Dalco Enterprises Inc | Durable Medical Equipment & Medical Supplies | 24900 Perdido Key Blvd, Suite 204, Orange Beach, AL 36561 | 2008-02-29 |
| 1326115536 | Andrew Dexter Dunavant Jr. | Dentist | Comprehensive Dentistry of Orange Beach, 2750 Rollins Road, Orange Beach, AL 36561 | 2006-11-30 |
| 1154406668 | John Henry Brackett Jr. | Dentist | 25771 Canal Rd, Orange Beach, AL 36561 | 2006-10-25 |
| 1982791646 | Tiffany Shea Veale-halm | Chiropractor | 24693 Canal Road, Suite B, Orange Beach, AL 36561 | 2006-10-06 |
| 1962505883 | Thomas Arthur Denton | Pharmacist | 25405 Perdido Blvd, Orange Beach, AL 36561 | 2006-09-06 |
| 1609882463 | Mark A. Cameron | Emergency Medicine | 25910 Canal Rd Ste D, Orange Beach, AL 36561 | 2006-08-01 |
| 1871520395 | George Robert Burton IIi | Orthopaedic Surgery | 28707 Sampson Ave, Orange Beach, AL 36561 | 2006-06-28 |
| Find all providers in zip 36561 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922451376 | Lifestyle Performance Medicine | Specialist | 24847 Commercial Ave, Orange Beach, AL 36561-3845 | 2016-07-21 |
| 1629273578 | Karin Pardue Md LLC | Specialist | 4223 Orange Beach Bl, Suite A, Orange Beach, AL 36561-3459 | 2007-06-20 |
| 1336250299 | Daniel Mcgehee Scarbrough | Specialist | 25819 Canal Rd, Orange Beach, AL 36561-3826 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1528699444 | Jackson Hospital and Clinic, Inc | Specialist | 321 Greenville Byp Ste 2, Greenville, AL 36037-3757 | 2020-01-29 |
| 1548809403 | Mizell Memorial Hospital, Inc. | Specialist | 103 E Memorial Ave Ste A, Opp, AL 36467-1746 | 2019-12-24 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1598248205 | Almatriga Vladzetta Essex | Specialist | 1110 15th St Ste G, Tuscaloosa, AL 35401-3393 | 2018-09-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1912447210 | Neal Laye | Specialist | 29 W 3rd St, Suite B, Sylacauga, AL 35150-2480 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE BEACH |
| Zip Code | 36561 |
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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.