OrganizationActive
Therapy South Soho LLC
NPI 1003457482 · Physical Therapist · Homewood, AL
Provider details
- NPI number
- 1003457482
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Hannah Kelly, Credentialing Specialist(205) 745-3660
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2610 19th St S
Homewood, AL 35209-1914
Phone: (205) 558-6400
Fax: (205) 558-6405
Street-level locationGet directions
Mailing address
2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Registry dates
- Enumerated
- 2019-10-07
- Last updated
- 2019-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.