Provider Demographics
NPI:1679988778
Name:DUNN, JAMES (DPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:DUNN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5504 CRESTWOOD BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-4101
Mailing Address - Country:US
Mailing Address - Phone:205-201-4245
Mailing Address - Fax:205-201-4481
Practice Address - Street 1:5504 CRESTWOOD BLVD STE B
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35212-4101
Practice Address - Country:US
Practice Address - Phone:205-201-4245
Practice Address - Fax:205-201-4481
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA20265I2467Medicare PIN