Active NPI
Ann R Cupo, DPT
- Physical Therapist
- Hixson, TN
National Provider Identifier
1003109166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8918
- Practice address
- 1029 Executive Dr
Suite 101
Hixson, TN 37343-7914 - Phone
- (423) 870-1289
- Fax
- (423) 870-6861
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8918 | TN | Primary |
Addresses
Primary practice location
1029 Executive Dr
Suite 101
Hixson, TN 37343-7914
Mailing address
800 Crescent Centre Dr
Suite 600
Franklin, TN 37067-7269
Phone (615) 373-1350
Other names 1
- Ann Royal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8918 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1003109166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR",
"address_2": "SUITE 600",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677269",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 EXECUTIVE DR",
"address_2": "SUITE 101",
"city": "HIXSON",
"state": "TN",
"postal_code": "373437914",
"telephone_number": "423-870-1289",
"fax_number": "423-870-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPO",
"first_name": "ANN",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "ROYAL",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.