JON DOCKERY (NPI# 1588080857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588080857 |
| Entity Type | Individual |
| Full Name | JON DOCKERY |
| Practice Address |
5643 Sermon Rd S Theodore AL 36582-3608 |
| Mailing Address |
1908 Flint Rd Se Decatur AL 35601-6031 |
| Practice Telephone | 2516601505 |
| Practice Fax Number | 2516609007 |
| Mailing Telephone | 2563409708 |
| Mailing Fax Number | 2563409624 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTH7097 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | GROUP NPI | 1003819608 | 01 |
| AL | 529917620 | 05 |
| Street Address |
5643 SERMON RD S |
| City | THEODORE |
| State | AL |
| Zip Code | 36582-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043346380 | Encore Rehabilitation Inc | Clinic/Center | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2007-02-23 |
| 1811528706 | Mckenzie Fruge | Occupational Therapist | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2020-01-29 |
| 1265810816 | David Greer | Physical Therapist | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2015-05-15 |
| 1982091450 | Phillip Dueitt | Physical Therapist | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2015-04-22 |
| 1144657438 | Amy A Broome | Physical Therapist | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2013-10-01 |
| 1528403565 | Shelby St John Norton | Physical Therapist | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539608 | Restore Therapy Services, Ltd | Physical Therapist | 5461 Kooiman Road, Theodore, AL 36582 | 2020-08-18 |
| 1457609851 | Lacey Amber Breland | Occupational Therapy Assistant | 7970 Bellingrath Rd, Theodore, AL 36582 | 2012-08-16 |
| 1104941749 | Big C Discount Drugs | Pharmacist | 5808b Highway 90, Theodore, AL 36582-1643 | 2007-03-20 |
| 1639222748 | Lewis Etheredge Redditt II | Pharmacist | 5808 Highway 90, Suite B, Theodore, AL 36582-1643 | 2007-01-19 |
| 1972514628 | Joseph Anthony Tombrello | Dentist | 5710 Katherine Hankins Dr, Theodore, AL 36582-1918 | 2006-08-10 |
| 1528513801 | Fruit of The Spirit Home Health Care | Home Health | 5211 Jones Rd N, Theodore, AL 36582-2113 | 2016-08-16 |
| 1164738415 | Melonie's Respitecare& Day Habilitation Inc. | Community/Behavioral Health | 7286 Old Military Rd, Theodore, AL 36582-2124 | 2010-08-24 |
| 1003427626 | Rachel Wilson Beebe | Student in an Organized Health Care Education/Training Program | 3750 Rabbit Creek Ct, Theodore, AL 36582-2505 | 2020-08-17 |
| 1770763823 | Vernell S Forman | Speech-Language Pathologist | 3294a Dog River Rd, Theodore, AL 36582-2524 | 2007-11-06 |
| 1447570825 | Bradford Bowen Liles | Dentist | 5721 Highway 90 Ste A, Theodore, AL 36582-3601 | 2010-06-08 |
| Find all providers in zip 36582 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043346380 | Encore Rehabilitation Inc | Clinic/Center | 5643 Sermon Rd S, Theodore, AL 36582-3608 | 2007-02-23 |
| 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 | ||||
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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.