NICOLE COX MCCARN PT, DPT
NPI 1467066829
Physical Therapist in Vestavia Hills, AL

Active since September 03, 2020Accepts Medicare Assignment
81.26/100
CMS Quality Rating
1280 COLUMBIANA RD STE 160, VESTAVIA HILLS, AL 35216(205) 968-1283(205) 968-1285 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, May 3, 2022, Feb 9, 2021 and 1 more (4 updates tracked since 2020).

About Nicole Cox Mccarn Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE COX MCCARN PT, DPT (NPI 1467066829) is an individual physical therapist in Vestavia Hills, Alabama, licensed in Alabama (PTH9925) and active in the NPI registry since September 2020. She maintains 2 additional practice locations and is a graduate of University Of Florida College Of Medicine (2020).

NPPES Registry Identity

NPI1467066829
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameNICOLE COX MCCARNCredential: PT, DPT
Location Address1280 COLUMBIANA RD STE 160Vestavia Hills, AL 35216-1604
Mailing Address2823 Greystone Commercial BlvdHoover, AL 35242-2660 · (205) 745-3660
Fax(205) 968-1285
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2020
Enumeration DateSeptember 3, 2020
Last NPPES UpdateJanuary 19, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1467066829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AL · PTH9925
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1280 COLUMBIANA RD STE 160, Vestavia Hills, AL 35216

Other Names 1

Former Name (1)Nicole Cox

Secondary Practice Locations 2

Location 12801 Allison Bonnett Memorial DrHueytown, AL 35023-1859 · Phone (205) 545-9905 · Fax (205) 725-6769
Location 22846 Moody Pkwy Ste 200Moody, AL 35004-3329 · Phone (205) 640-0257 · Fax (205) 640-0285

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Cox Mccarn Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446678254
PECOS Enrollment IDI20200910002270

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
356 services55 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
264 services50 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
247 services49 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
187 services48 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
160 services34 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.53
Improvement Activities40

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1280 COLUMBIANA RD STE 160
VESTAVIA HILLS, AL 35216
Physical Therapist
1280 COLUMBIANA RD STE 160
VESTAVIA HILLS, AL 35216
Physical Therapist
1280 COLUMBIANA RD STE 160
VESTAVIA HILLS, AL 35216
Physical Therapist
1280 COLUMBIANA RD STE 160
VESTAVIA HILLS, AL 35216
Physical Therapist
1280 COLUMBIANA RD STE 160
VESTAVIA HILLS, AL 35216
Physical Therapist
1280 COLUMBIANA RD STE 160
VESTAVIA HILLS, AL 35216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mccarn's NPI number?

The NPI number for Nicole Mccarn is 1467066829. It was assigned to this individual provider in the NPPES registry on September 3, 2020. The provider is also known as Nicole Cox.

Where is Nicole Mccarn located?

Nicole Mccarn practices at 1280 Columbiana Rd Ste 160, Vestavia Hills, AL 35216. The listed phone number is (205) 968-1283.

What is Nicole Mccarn's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nicole Mccarn enrolled in Medicare?

Yes. Nicole Mccarn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Mccarn accept?

Health plans from Blue Cross and Blue Shield of Alabama list Nicole Mccarn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Mccarn was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.