Provider Demographics
NPI:1710283981
Name:PURVIS, CURTIS DEWAYNE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:DEWAYNE
Last Name:PURVIS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7212
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:2846 MOODY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:AL
Practice Address - Zip Code:35004-3329
Practice Address - Country:US
Practice Address - Phone:205-640-0257
Practice Address - Fax:205-640-0285
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25860225100000X
MS5631225100000X
ALPTH7530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist