Josiedith Castaneda
Individual provider Active NPI Physical Therapist · Columbia, TN
NPI 1003081548 · NPPES record last updated Apr 25, 2008
Key facts
- NPI
- 1003081548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 4404 (TN)
- Practice address
- 1400 Rosewood Dr
Columbia, TN 38401-4878 - Phone
- (931) 388-6573
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
1001 McCutcheon Creek LN
Spring Hill, TN 37174-1050
Phone (931) 451-0666
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206003528 | TN | Practitioner - Physical Therapist in Private Practice | 0840633905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 4404 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
1001 McCutcheon Creek Ln
Spring Hill, TN 37174
Phone (843) 513-0457
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 4404 | TN | Yes |
Addresses
Primary practice location
1400 Rosewood Dr
Columbia, TN 38401-4878
Mailing address
1400 Rosewood Dr
Columbia, TN 38401-4878
Other providers in Columbia, TN
- Tiffany Alexandria Carter
- Diana Casella
- Madeline Cass
- Kathryn Hartzog Cassidy
- Stephanie Renee Castaneda-Clark
- Karol Ann Cathey
- Vincent Salvatore Cavaliere
- Elizabeth Frances Cazan
- CCS Care Clinic LLC
- Cedar Recovery Center of Middle Tennessee, LLC
All providers in Columbia, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.